Waiver / Release of Liability Name* First Last Email* Enter Email Confirm Email Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Preferred PhoneEmergency Contact*Name and Phone NumberConsent*Because physical exercise can be strenuous, it is recommended that I obtain a physical examination from a doctor before beginning any exercise activity. I, being mentally sound, understand that with exercise, strength training and/or cardiovascular activity there is a risk of injury and even death. I am aware of this risk and consider myself physically sound enough to participate in light, vigorous and/or strenuous exercise. I hereby assume all risk of injury, illness or death. I am voluntarily participating in these activities and fully understand that this is a release of liability. I agree to waive or give up any right that I, my spouse, my family members, or friends may otherwise have to bring legal action against SoLi Fitness LLC and/or Derrick D. Johnson, nor against the property owner, Laila Farally, for personal injury or property damage now or in the future. Any recommendations for change in diet, use of supplements or increased daily activity are my responsibility and I should consult a physician prior to making changes. To the extent that the statue or case law does not prohibit releases for negligence, this release is also for negligence. I have carefully read the release form and understand and acknowledge its content. I have been informed of the risk and consent to this waiver.Signature*
