* Required


Informed Consent and Release for Participation and Use

In signing this form, I affirm that I have read, been informed of, and signed all other necessary documents regarding touring, program trialing, membership, rules and regulations, terms and conditions, media release, and the exercise program itself in their entirety. I also affirm that my questions regarding the exercise program have been answered to my satisfaction. I also understand that the ownership and all affiliated staff hold the right to revoke membership for center misuse and failure to comply with all terms, conditions, rules, and regulations. Also, in consideration for being allowed to participate in the exercise program, I agree to assume the risk of such exercise, and further agree to not hold Archbishop Murphy and any of its staff members conducting the exercise program responsible for any and all claims, suits, losses or related causes of action for damages, including, but not limited to, such claims that may result from my injury or death, accidental or otherwise, during, or arising in any way from the exercise program. I understand that I am responsible for monitoring my own condition throughout the exercise program and should any unusual symptoms occur, I will stop my participation and inform the staff of the symptoms. In the event that a medical clearance form must be obtained prior to my participation in the exercise program, I agree to consult my physician and obtain written permission from my physician prior to the commencement of any exercise program.

Please enter your names below to digitally sign and submit this registration.  Electronic signatures are legally binding and have the same meaning as handwritten signatures.