Cart 0

Safety Waiver Form

Using Warren Health & Fitness requires filling out a safety waiver form. Save time by filling this form out online.

I would like to fill out a waiver for:

Myself (Must be over 18)

Myself & Children

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone 1

(###)

###

####

Email Address

Registrant Date of Birth

Driver's License #

Driver's License State

List Name(s) of Children (If Applicable)

Waiver

I have read this release of liability and assumption of risk agreement, and I fully understand its terms, and understand that I have given up legal rights by signing it and submitting this form, and I am signing it and submitting this form freely and voluntarily without any inducement.

Safety Waiver Form

Open Monday - Saturday:

—