Please fill out the form below and bring with you the following: light weights, water, and a mat.

Fit 4 Life will like to inform you that we specialize in providing exceptional service in Zumba Fitness, BootCamp Classes, Kicking Boxing Classes and Soca Aerobics Classes. The founder and instructor Roberta Etienne has been in the fitness industry for the past 15 years and is a life long fitness enthusiast. She is a certified personal trainer, certified RealRyder indoor cycling instructor, certified group fitness instructor and a licensed Zumba instructor. License to teach Zumba, Zumba toning, Strong by Zumba, Zumba Gold, Plate by Zumba (This is a nutritional program),and Zumba step. She is also First Aid/CPR/AED certified.

* 1. Participant Information:

* 2. Email Address:

* 3. Which fitness class(es) are you interested attending?

* 5. Active Employees: Please enter your Employee ID number below.
Retirees: Please enter your insurance carrier below (Cigna or UHC).

Fitness Waiver

Express assumption of risk: I am aware that there are significant risks involved in all aspects of the Government of the Virgin Island’s (GVI) Fitness classes. These risks include, but are not limited to: falls which can result in serious injury or death, injury or death due to negligence on the part of myself, players, or other people around me, injury or death due to improper use or failure of equipment. I am aware that any of these above mentioned risks may result in serious injury or death to myself and/or player(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result, directly or indirectly, from my participation in the GVI’s Fitness Classes. I, the undersigned acknowledge that I have no physical impairments or illnesses that will endanger myself or others.


Release: In consideration of the above mentioned risks and hazards and in consideration of my willing and voluntary participation in the Fitness Classes offered, I, the undersigned hereby release the GVI, the GESC Health Insurance Board, the Division of Personnel, Fit 4 Life, the Department of Sports, Parks and Recreation their agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in the GVI’s Fitness Classes, including those allegedly attributed to the negligent acts or omissions of the GVI, the GESC Health Insurance Board, the Division of Personnel, Fit 4 Life, the Department of Sports, Parks and Recreation their agents, employees, and/or volunteers. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. I fully authorize the GVI Wellness Program to use my name, likeness or image for purposes of advertising, marketing, promotion or trade without compensation; and I further acknowledge and agree that any images or recordings obtained or procured by the GVI shall be the sole and exclusive property of the GVI and may be published, broadcast or otherwise disseminated at the sole and exclusive discretion of the GVI. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.


Indemnification: I recognize that there are risks involved in the types of activities associated with the GVI’s Fitness Classes. Therefore, I accept financial responsibility for any injury that I may cause either to myself or to any other participant due to my negligence. Should the GVI, the GESC Health Insurance Board, the Division of Personnel, Fit 4 Life, the Department of Sports, Parks and Recreation or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless release GVI, the GESC Health Insurance Board, Division of Personnel, Fit 4 Life,  the Department of Sports, Parks and Recreation their agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities of the GVI’s Fitness Classes.


I have read and understood the foregoing assumption of risk and release of liability, and I understand that by clicking "Sign Me up!" I am waiving valuable legal rights.

T