Liability | IronstonePerformance

Ironstone Performance Liability Waiver

First Name

Last Name

Date of Birth

Are you filling this as a parent or guardian for a minor?

Yes

Minor's name

I release all liability on behalf of the minor as written below

Do you have a doctor’s approval to participate in intense physical activities? (approval is required to continue)

Yes

Please specify any medical, health, or other safety information I should know about prior to training

I declare that the information I’ve provided is accurate & complete. *

I have read the full liability waiver attached below, I understand, and agree to all the terms. Checking this box is equivalent to a physical signature. (find the document by clicking the icon below). *

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. *

Your Signature

Doctor's approval

is required