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Raleigh, NC Location

142 Wind Chime Ct Raleigh, NC 27615
919-791-6030

Gym & Fitness Liability Waiver

First Name

Last Name

Email

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities?

No

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!

Myrtle Beach, SC Location

4025 N Kings Hwy, Myrtle Beach, SC 29579
843-331-8497

Contact Us

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HOME
About Siddity
Raleigh,NC Booking
Myrtle Beach,SC Booking
Contact/Find Siddity
Shop Siddity Girl Bundles
Shop Siddity Girl Units

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