CFP Enrollment Form
This form will enroll you into the Colonel's Fitness Program. Your membership will begin on the day you show up.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Cell Phone *
St Address *
City St ZIP *
City St ZIP *
Date of Birth *
Cleared by your physician *
By clicking "yes" below, you understand that this is a strenuous activity and that your physician has cleared you for such activities.
Liability Release *
CLIENT ENROLLMENT AGREEMENT DISCLOSURE & RELEASE I agree to participate in a physical fitness program with a trainer or trainers of Colonel’s Fitness Program.  I recognize that exercise is not without varying degrees of risk of injury, including, but not limited to, injury to the musculoskeletal and/or cardiorespiratory systems.  I hereby certify that I know of no medical problems (except those about which I have informed the Program) that would increase my risk of illness and/or injury as a result of my participation in a physical fitness program with the Program.I understand and have been informed that there exists the possibility of adverse effects and changes to my health and well-being during the exercise program.  I have been informed that these adverse effects and changes could include, among other things, abnormal blood pressure, fainting, disorders of heart rhythm, stroke, and, in some instances, heart attack and/or death.I hereby release, discharge, indemnify and hold harmless Colonel’s Fitness Program and each of its agents, officers, principals, owners, employees, successors and assigns from and against any and all injury, illness, harm, claims, demands, actions or damages of any kind or nature resulting from or in any way relating to my participation in the program, including the fitness evaluation.  I acknowledge and agree that I understand and assume any and all risks and dangers relating to my participation in the program.Photograph & Video ReleaseI hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.Photographic, audio or video recordings may be used by Colonel’s Fitness Program for the following purposes:• presentations• website promotion and marketing• on-air and internet advertisingBy signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public domain.I understand that these images or videos may be used whether or not I am still an active member of Colonel’s Fitness Program.There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.This release applies to photographic, audio or video recordings collected as part of a Colonel’s Fitness Program activity, workout, event or class.Entire Agreement: This Agreement constitutes the entire and exclusive agreement between the parties.  Any promises, representation, understanding, oral or written, pertaining directly or indirectly to the Agreement, which is not contained herein, is hereby waived.I agree with the above terms 
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.