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S & W Z Fitness, LLC Sign Up
Registration and waiver for students of S & W Z Fitness, LLC
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Email *
Name *
Emergency Contact 1 *
Emergency Contact 1Phone Number *
Emergency Contact 2
Emergency Contact 2 Phone Number
Pertinent Medical Information
Waiver of Liability
I hereby agree to release St. John Lutheran Church and School, their staff, Zumba International, and the Instructor, Priscilla Babin from liability for any claim, demand, cause of action of any kind whatsoever for personal injury, property damage or loss of any kind resulting from or related to my use of these facilities and participation in any physical exercise within or without of the premises.* This waiver of liability and assumption of risk shall also be binding to include my heirs, executors or administrators.

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