Liability Waiver | Amarah Studio And Boutique | Pittsburgh

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FITNESS STUDIO LIABILITY WAIVER

First Name

Last Name

Email

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities?

No

Yes

Please specify any conditions you have that may affect your workout.

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.

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EMPOWERME@AMARAHPGH.COM

CALL/TXT - 412. 501. 3193

954 BROOKLINE BLVD.
PITTSBURGH, PA 15226

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