Move With Strength | Drop In
 We are glad you have decided to join us for a small group strength training session. We will need a few pieces of information from you, and you'll need to download Zoom in order to join the class. 

Please note: This form is required EACH time you'd like to drop in one of the virtual fitness classes*. 

*If you indicate you'd like to join us for more than one class below, you don't have to fill this form out again as long as you have sent payment to cover the number of classes you check off below. However, if, after filling this out and sending your payment, you decide that you can join us for additional dates, please make sure you return to this form to fill out all of your information again. This will help me keep track of attendees for each session.

For a better experience, feel free to connect your device to a tv, speaker, or headphones for your workout.

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Full name *
Email address *
Please note which date(s) you'll join us for Virtual Fitness class:
Please note your payment method:  *
Participant Waiver
I understand that sports, fitness, exercise, and recreational activities involve a risk of injury and even death and that I am voluntarily participating in these fitness classes, with full knowledge of the potential dangers involved. I expressly agree to assume and accept sole responsibility for any and all risk of injury or death. In consideration of my participation in one or more fitness classes offered by the instructor, Jordan Farrell, Zumba® Fitness, LLC., Zeta Direct Inc., (collectively, “Zumba®”) and/or the facility (ZOOM Livestream): I, do for myself, my heirs, dependents, beneficiaries, executors, and administrators, hereby expressly release, discharge and hold harmless without regard to any negligence or fault of the Released Parties, from any and all responsibility, losses, liabilities, penalties, fines, costs, damages, legal fees and expenses arising from injuries I may sustain or incur as a result of my participation in any physical activity.

I have consulted with my physician regarding any questions or concerns regarding my ability to participate in these activities. I understand and acknowledge that without my agreement to this Release, I am not authorized or permitted to participate in any fitness classes. I am 18 years of age or older, and I have carefully read this Release and know the contents thereof. I sign this Release as my own free act. If under the age of 18, a parent/guardian must sign a waiver.

IT IS THE INTENTION OF PARTICIPANT BY TYPING HIS/HER NAME BELOW TO EXPRESSLY ASSUME ALL RISK OF PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE UPON HIM/HERSELF, TO THE EXCLUSION OF JORDAN FARRELL, ZUMBA®, AND/OR ZOOM AND TO EXEMPT AND RELIEVE THE RELEASED PARTIES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH. The participant further agrees that the participant, his/her spouse, assignees, heirs, guardians, and legal representatives will not make any claim against, sue the released parties for any loss or damage resulting from participant’s participation in the activities.

THE PARTICIPANT IS AWARE OF THE POTENTIAL DANGERS INCIDENTAL TO ENGAGING IN THE ACTIVITIES, THAT THIS IS A RELEASE OF LIABILITY, A WAIVER OF THE PARTICIPANT’S LEGAL RIGHT TO COLLECT DAMAGES IN THE EVENT OF INJURY, DEATH OR PROPERTY DAMAGE AND A CONTRACT BETWEEN PARTICIPANT AND JORDAN FARRELL. THE PARTICIPANT SIGNS IT OF HIS/HER OWN FREE WILL.
Type your name below to indicate your acceptance of the above waiver *
Zoom: Our Video-Conferencing Platform
Zoom is an easy and reliable cloud platform for video and audio conferencing, chat, and more across mobile devices and desktops/laptops. To best facilitate our sessions, please make sure to both download AND register Zoom prior to joining our session. It will save you time and help me know who participates in our workouts!

After submitting this Google form, you'll receive an initial email through Zoom. Be sure to click the link to "join meeting" in order to complete the registration process. Once you complete the registration process*, you'll receive an email with a direct link that will enable you to join our sessions at the scheduled time(s).

Please note: please mute both your video and audio capabilities during the virtual Zumba sessions to help maintain video & audio quality for everyone in attendance!

* You can find instructions for completing the registration process for our Zoom sessions in my Facebook group. Look for the pinned announcement.

Download and create/register an account from your computer: https://zoom.us/
Android / GooglePlay Store: https://zoom.us/download#mobile_app
Apple App Store: https://zoom.us/download#client_iphone
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