Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

Country

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Acknowledgement of Risks *

I hereby acknowledge that participation in physical exercise and training activities with GoPeers Health, Inc. involves risks of injury. These risks include, but are not limited to, muscle strains, ligament sprains, falls, contact with other participants, and the effects of the weather, including high heat and humidity.

Yes

Health Declaration *

I confirm that I am in good health and have no medical condition that would prevent my participation in physical exercise. I agree to inform GoPeers Health of any changes in my health status that may affect my safe participation in physical activities.

Yes

Waiver of Liability *

I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which might occur as a result of my participation in physical activities with GoPeers Health, Inc. I knowingly and voluntarily waive any claim I may have against GoPeers Health, Inc., its employees, and instructors for injury or damages that I may sustain as a result of participating in the program.

Yes