Waiver of Liability and Release Digital Form

I hereby agree to the following:

That I am participating in the training, programs, exercises and events, Muir Wellness classes, Personal Training and Fitness Classes offered by Leah Muir or alternate instructor from which I will receive instruction.
I understand that it is my responsibility to consult with a physician prior to and regarding my participating in any Fitness Program. I represent and warrent that I am physically fit and I have no medical condition that would prevent my full participation in this program.
In consideration of being permitted to participate in any Group Fitness Class I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program.
In consideration of being permitted to participate in any Fitness Program I knowingly, voluntarily and expressively waive any claim I may have against Leah Muir, Muir Wellness, owners, insurers or any Muir Wellness Instructor for injury or damages that I may sustain as a result of participating in the program.
I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue Leah Muir, Muir Wellness owners, insurers or any Muir Wellness Instructor for any injury or death cause by their negligence or other acts.

Name*

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Birthdate*

In case of an emergency, please contact*

What is their relation to you?*

Emergency Contact's Phone Number*

I have read the above release and waiver of liability and fully understand it's contents. I voluntarily agree to the terms and conditions stated above.*

I agree

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