Morrison YMCAThursday @ 6:30pm Waiver and Release of Liability

Morrison YMCA

Thursday @ 6:30pm

Waiver and Release of Liability

Join us for a RyzAb0ve Fitness class at the Morrison YMCA!

Where: Morrison YMCA, 9405 Bryant Farms Rd, Charlotte, NC 28277

When: Thursday's @ 6:30pm

This agreement must be read and fully completed for you/your child to be eligible to participate in this event.

Participant's First Name*

Participant's Last Name*

Participant's Date of Birth*

Phone Number*

xxx-xxx-xxxx

Phone

Valid Email Address*

example@example.com

Please let us know how you found us or heard about us: **

What other RyzAb0ve activities would you like to learn more about?*

Select or enter value

Please feel free to type below to leave any other information about the participant (including health concerns, support needed, etc) you feel that may be important for us to know. Type "N/A" if no additional information is needed.*

Emergency Contact

First Name*

Last Name*

Phone Number*

Phone

Relationship to Participant*

Street Address*

Street Address Line 2

City*

State*

Postal / Zip Code*

Waiver & Release of Liability

By typing my full name below I hereby attest that I have thoroughly reviewed and understand the terms outlined in the waiver and release of liability document and the Code of Conduct linked below, and I willingly agree to abide by them.*

Waiver & Release of Liability

Code of Conduct

Please provide today's date.*

Media Release

I give RyzAbOve Fitness the right to take photographs, audio or audio-visual recordings of me/my child to be used in promotional, educational, or fundraising materials including, but not limited to videos, pamphlets and brochures. I understand my/my child's name may be used in connection with these materials.

Media Release*

I agree and grant permission

I do NOT agree. I DO NOT grant permission

Send me a copy of my responses

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