top of page
Home
Plans & Pricing
Waiver
About
Contact
More
Use tab to navigate through the menu items.
Guerrilla
PROOF
Personal Training and Nutrition
Guerrilla Proof LLC Liability Waiver
First name
Last name
Email
Date of Birth
Phone
Do you need a doctor’s permission to participate in intense physical activities?
*
No
Yes
Please specify anything we should know about
Emergency Contact
Emergency Contact First Name
Emergency Contact Relation
Emergency Contact Last Name
Emergency Contact Phone Number
Emergency Contact Email
I would like to recieve future emails Guerrilla Proof LLC
I consent to my image (photogaphy or video) to be used by Guerrilla Proof LLC
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
Submit
bottom of page
