Fitness Waiver Fitness Waiver Please fill out the following form, a copy of the waiver will be emailed to you. Questions?Contact vwfsmembers@gmail.com Facebook Twitter Instagram Name(Required) Date(Required) PhoneEmail Address(Required) Emergency Contact Name(Required) Emergency Contact Phone Number(Required) Emergency Contact Relationship Referred by (Group, Name, Station etc.) Gender (M/F) Participant Name (or parent/guardian if under 18)(Required) Consent/Signature(Required) I Agree By selecting the “I agree” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “I agree” using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of a minor, I represent and warrant that I am the minor’s parent or legal guardian. Δ Share this:Click to share on Facebook (Opens in new window)Click to email a link to a friend (Opens in new window)
