Welcome! Please check in by tapping here if it is your first time at Balance Fitness. Welcome to Balance Fitness! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.What brings you here? *Guest Free Week TrialGuest of a Member with Guest PrivilegesDay Pass ($24) or Week Pass ($36)Training ClientHave/had a MembershipI am signing for a minor of whom I am the parent/guardian.YesWhat Member referred you as a Guest? *FirstLastWho is your Trainer? *Where did you hear about us? *Your (Guest's) Name *FirstLastYour (Client's) Name *FirstLastYour Name *FirstLastChild's Name *FirstLastChild's Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child's Phone Number (if he/she has one)Your Name *FirstLastPhone Number *Email Address (We will send a copy of your waiver form here) *Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920WAIVER OF LIABILITY/ASSUMPTION OF RISK: On behalf of myself or the minor guest I am the parent or guardian of, I acknowledge that attendance at, use of, or participation in Balance Fitness facilities, activities, or equipment could be dangerous and cause injury, including death, and is undertaken at the guest's own risk. On behalf of myself and/or the minor guest I am the parent or guardian of, and my/our heirs, executors, and assigns, I fully waive, release and forever discharge Balance Fitness and their respective affiliates, parents, subsidiaries, officers, directors, employees, agents, successors, and assigns from any and all claims, damages, demands, rights of action, and causes of action, known or unknown, anticipated or unanticipated, arising out of or relating to attendance at, use of, or participation in Balance Fitness facilities, activities, equipment or provided transportation. My signature below verifies that I have read, understand, and agreed to this waiver and release of any and all liability.Date Signed *Signature * Clear Signature As soon as you hit submit, you will receive an email with your waiver form attached, and the page will automatically refresh.Submit
