Health & Safety Waiver

👤 Personal Information

First Name * Please enter your first name

Last Name * Please enter your last name

Date of Birth * You must be at least 18 years old

Email Address * Please enter a valid email

Phone Number * Please enter a valid phone number

Membership ID (Optional)

🚨 Emergency Contact

Full Name * Required

Relationship * Required

Phone Number * Required

🩺 Health Declaration

Check any conditions that apply to you. Failure to disclose may result in injury or liability.

Heart disease, chest pain, or heart condition

High blood pressure or circulation issues

Diabetes or blood sugar regulation issues

Joint, back, or bone conditions

Pregnancy or recent pregnancy

Asthma or breathing difficulties

History of seizures or dizziness

None of the above

Additional Medical Notes / Medications (Optional)

📜 Release of Liability & Informed Consent

PLEASE READ CAREFULLY

I, the undersigned, acknowledge that physical exercise and fitness training involve inherent risks, including but not limited to muscle strain, joint injury, cardiovascular stress, falls, and other physical harm.

By signing this waiver, I acknowledge that:

I am physically fit and healthy enough to participate in IronForge Fitness programs and facility use.
I have disclosed all relevant medical conditions, injuries, and medications to the best of my knowledge.
I understand that IronForge Fitness, its owners, employees, trainers, and agents are not responsible for any injury, damage, or loss that may occur during my visit or participation in programs.
I voluntarily assume all risks associated with participation and agree to hold IronForge Fitness harmless from any claims, lawsuits, or demands arising from my participation.
I consent to emergency medical treatment if necessary and authorize IronForge Fitness staff to arrange for such treatment if I am incapacitated.
I agree to follow all facility rules, safety guidelines, and staff instructions at all times.
This waiver remains valid for the duration of my membership or guest visit and covers all activities within the facility.

Disclaimer: This waiver does not waive liability for gross negligence or willful misconduct as prohibited by applicable state law.

I have read, understood, and voluntarily agree to the terms outlined in this Health & Safety Waiver. I certify that the information provided is accurate and complete to the best of my knowledge. I understand that misrepresentation may result in immediate termination of access and forfeiture of membership benefits.

You must agree to the terms to continue

✍️ Electronic Signature

Date * Required