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* 1. Name ( First, Last)

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* 2. Address

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* 3. Date of Birth

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* 4. Email Address

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* 5. Phone Number

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* 6. Please consult a Physician prior to starting any fitness program.
Fitness Classes and Virtual Group Fitness Classes with Step N Fit involves risk of injury and that as a condition to participation in fitness programs, I assume full responsibility of such risks.
I recognize that fitness programs require physical exertion that may be strenuous and m
ay cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any fitness program. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in the fitness programs.
I hereby release and hold harmless Step N Fit its agents, related entities, and employees, from all liability to me, for any loss or damage to me, and forever give up any claims therefore on account of injury to my person or property whether caused by the active or passive negligence of Step N Fit.

I hereby grant and authorize Step N Fit the right to take, edit, alter, copy, exhibit, publish, distribute, and make sue of any and all pictures or video taken of me to be used in and/or for any lawful promotional materials including but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits, and submissions to journalists, websites, social networking sites and other print and digital communications without payment or any other consideration.

This authorization extends to all languages, media, formats and markets now known or later discovered. This authorization shall continue indefinitely unless I otherwise revoke this authorization in writing. 

I waive the right to inspect or approve any finished product in which my likeness appears, including written or electronic copy. I agree that I have not been compensated, I waive any right to royalties or other compensation arising related to the use of my likeness. 

By electronically signing below you acknowledge that you have read, understand and agree to Step N Fit group fitness liability  and media waiver.





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