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Essentrics with Alison
Health Waiver
First Name
Last Name
Email
I have no known medical or physical conditions that would prevent me from safely taking part in an Essentrics® class
I am aware of the physical risks involved in exercise
I understand that if at any time during class I feel discomfort or pain, I will cease instruction
I assume responsibility for any risk or injury that I may sustain as a result of my participation
Name
Date
I declare that the information I’ve provided is accurate & complete
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