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MEMBERSHIP REGISTRATION

TOPTONE ONLINE TRAINING

Please submit the registration form below and we'll contact you with details on getting started.

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Has your doctor ever said that you have a heart condition and that you should consult a physician before doing physical activity?
Do you feel pain in your chest while engaging in physical activity?
In the past month, have you felt chest pain when you were not engaged in physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem that could worsen by a change in physical activity?
Is your doctor currently prescribing drugs (e.g. water pills) for your blood pressure or heart condition?
Do you know of any other reason why you should not engage in physical activity?

In submitting this form, I hereby assume the risk of all conditions or occurrences which may be encountered, and waive all claims for damages, injury or loss to my person and/or property which may be caused, by my participation in the fitness and/or recreational activity for which I am a participant. I waive any and all specific notice of the existence of any adverse conditions or occurrences and waive all claims I may have as a result of any act or omission of Brad Crittenden, UnderTone Fitness, its agents, employees or volunteers. I hereby covenant not to hold liable Brad Crittenden, UnderTone Fitness, its agents, employees or volunteers, for any claim arising out of my participation or for any act, omission or condition occurring during my participation. In completing this form, I claim, to the best of my knowledge, that I do not have a disability (medical or physical), that would preclude safe participation in this program.