Fight Tonight CrossFit Registration
Class Schedule
M-F 8:30 AM
M-TH 5:45 PM
Sat- 9:00 AM

Collier Fitness Center, South Post, USAG-Yongsan

Contact us at www.fighttonightcrossfit.com or
https://www.facebook.com/Fight-Tonight-CrossFit-221248147944227/

Email address *
First Name *
Your answer
Last Name *
Your answer
Class you will most often attend? *
Required
Fundamentals Course Completed On
MM
/
DD
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YYYY
Expected Departure from Korea *
MM
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DD
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YYYY
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
With my initials below, I affirm that I have read and understand the Release From Liability Statement Below *
Your answer
RELEASE FROM LIABILITY CERTIFICATION
In consideration for being allowed to use these fitness facilities, I hereby release the United States Government, including all of its subdivisions, officers, military personnel, employees, instructors and agents, from liability for any personal injury or death that may result from my use of these facilities. I agree that this release not only binds myself, but also my family, heirs, assigns, administrators, and executors. I understand that all information gathered during this visit will be covered under the Privacy Act (5 U.S.C. & 552a). I have read and understand the Privacy Act Statement below. Further, I have read the foregoing carefully and all its contents. Any questions concerning this release from liability certification have been answered to my satisfaction. PRIVACY ACT STATEMENT FOR SPORTS FACILITIES Authority: 5 U.S.C. 301 and 10 U.S.C. 3012PURPOSE: The purpose of this solicitation is to permit identity verification of persons authorized patronage to Morale, Welfare and Recreation Facilities and to enhance customer safety while participating in various physical fitness programs. ROUTINE USES: Any information you provide is disclosable to members of the Department of Defense who have a need for the information in performance of their official duties, and where use of such information is a compatible purpose for which the information may be disclosed to Government agencies and persons outside the Department of Defense for law enforcement collection purposes, or if determined to be disclosable pursuant to a request submitted under the Freedom of Information Act, or if needed for Congressional or other Government Investigations. DISCLOSURE IS VOLUNTARY FOR INDIVIDUALS: However, failure to provide requested information may result in denial of entry to facilities.
A copy of your responses will be emailed to the address you provided.
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