Waiver & Registration

Waiver & Registration Form

Participant Information

First name*

Last name

Date of Birth*

Month

Day

Year

Phone Number*

Emergency Contact (Name + Phone)*

Email*

Address

Health & Readiness

Please check all that apply:

I have no known medical conditions that would prevent participation

I understand this is a physically demanding program

I will inform the instructor of any injuries, pain, or limitations

If applicable, please list any injuries or conditions:

Additional comments:

Liability Waiver & Release

I understand that participation in physical fitness activities, including beach bootcamp classes, involves inherent risks, including but not limited to injury, muscle strain, falls, environmental conditions (sand, uneven surfaces, weather), and other physical harm.

I voluntarily choose to participate in sessions provided by Beyond Fitness / Monika Pawluskiewicz and assume all risks associated with participation.

I hereby release, waive, and discharge Beyond Fitness, Monika Pawluskiewicz, and any associated locations (including but not limited to beaches and outdoor areas in Rhode Island) from any and all liability, claims, demands, or causes of action arising out of any injury, illness, or damages that may occur as a result of my participation.

I confirm that: