top of page
ABOUT
SERVICES
MEMBERSHIP
APPAREL
ONLINE TUTORIALS
CONTACT
PRIVACY
More
Use tab to navigate through the menu items.
Log In
Gym & Fitness Liability Waiver
First name
Last name
Email
Date of Birth
Do you need 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 all liability from BALANCE BJJ, BuddhaBox Gym and any of their instructors for any 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 participating in the BJJ and Boxing classes. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in the Braziian Jiu-Jitsu or Boxing training.
Submit
Thanks for submitting!
bottom of page
