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LEIA NICOLE FITNESS

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Volunteer with Us

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How did you find out about us?

Which days are you available?

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A few words about you

Thanks for applying to volunteer with us! We'll get back to you soon.

Gym & Fitness Liability Waiver

First name

Last name

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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!

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