4KBSGK Forms | Cyclogical
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Health Waiver and Release

Please fill out the following form.

Date of birth
Year
Month
Day
I recognize that this class requires physical exertion that may be strenuous at times and I agree to assume full responsibility for any risks, injuries or damages known or unknown which I may incur as a result of participating in this class.
I understand and I consent
I confirm that I do not have any medical conditions that would prevent me from taking part in this class and acknowledge that it is my responsibility to consult with a physician before participating in the aforementioned class.
I understand and I consent
Date
Year
Month
Day
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CYCLOGICAL

Informed Consent and Liability Waiver Release for Participation in Cyclogical's Indoor Cycling Class

Date
Year
Month
Day
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