If attendee is under the age of 18, we must have your parent/guardian information. If you are 18+, write N/A in the remaining fields.
Waiver and Release of Liability
Because physical exercise can be strenuous and carries a risk of serious injury, Katina Wilson ("EliteStarz Fitness") strongly urges you to obtain a physical examination from a doctor before participating in any exercise activity. By engaging in any physical exercise or activity, you do so entirely at your own risk.
Any recommendations for changes in diet, including the use of food supplements, weight reduction, or bodybuilding products, are entirely your responsibility, and you should consult a physician before making any dietary changes.
By participating, you agree to voluntarily assume all risks of injury, illness, or death. You also confirm that: (a) you are in good physical condition and have no disability, illness, or other condition that could prevent you from exercising without injury or harm to your health, and (b) you have consulted a physician about an exercise program that will not put you at risk of injury or health impairment.
This waiver includes risks of injury arising from the use of equipment, participation in supervised or unsupervised activities, and other potential risks such as heart attacks, strokes, sprains, fractures, and more. It covers injuries that could occur anywhere while participating in activities with Katina Wilson ("EliteStarz Fitness").
By acknowledging this waiver, you agree to release and discharge Katina Wilson ("EliteStarz Fitness") and its affiliates from any claims or legal actions related to personal injury or property damage.
You also grant permission for your picture and video to be used for promotional purposes. For minors, a separate photo release form must be signed by a parent or legal guardian.
By clicking "SUBMIT" you acknowledge that you fully understand the content of this release and that it cannot be modified orally. If any part of this waiver is deemed invalid by a court, the remaining provisions will continue to be in full effect.
I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (732) 656-9329 for assistance. You can reply STOP to unsubscribe at any time.