Class Participation Form

Class Registration
Address
Address
Street Address 1*
Street Address 2*
City*
State/Province*
Zip/Postal*
Has your physician cleared you to participate in an exercise program:

Participants needing mobility assistance will require having someone accompany them during in-person classes.

Will someone attend with you at in-person classes?

Indicate class interest:

In-person:
Virtual:

Waiver: Initial and date where indicated to acknowledge your understanding and agreement.

I acknowledge and agree that my voluntary participation in programs provided to me by Keith Hall and Linda Hall d/b/a Score Power Training for Parkinson’s, a/k/a Parkinson’s Fitness Score Power Training, a/k/a Parkinson’s Fitness, including in-person programs, online live video programs, recorded video programs, events, or other associated activities has a risk of possible personal injury or illness. I hereby remise, release and forever discharge Keith Hall and Linda Hall d/b/a Score Power Training for Parkinson’s, a/k/a Parkinson’s Fitness, its owners, agents, servants, advisors, independent contractors, volunteers, assistants, representatives, sponsors, affiliates and community partners from all liability, claims, demands, and causes of action that in any way concern any harm that I suffer that are in any way related to any in-person, online live video programs, recorded video programs, events or other associated activities offered by Parkinson’s Fitness. I represent and confirm that I have consulted with my physician(s) and have been medically cleared to participate in any program, event, or activity in which I participate. *Although initials are requested, this waiver will be effective regardless of whether initialed.

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