Iota Fitness - Under 18
Waiver and Health Info
Email address *
Child's Last Name *
Your answer
Child's First name *
Your answer
Parent Full Name *
Your answer
Current Iota Fitness member? *
Mailing address *
Your answer
City *
Your answer
State *
Your answer
ZIP
Your answer
Child's Birthdate *
MM
/
DD
/
YYYY
Parent Mobile number *
Your answer
Emergency Contact - name and number *
Your answer
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