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Adult - Medical Form and Waiver
To register to our academy please fill out the following medical form
Contact us any time
Name
Email
Date of Birth
Emergency Contact
Emergency Contact Phone #
Do you have any restrictions on participating in intense physical activities?
Yes
No
If yes, please state any restrictions/medical conditions we should be aware of:
Field label
I declare that the info I've provided is accurate and complete.
I accept the responsibility to ensure that I am medically and physically fit before starting the training at Talos Grappling.
I agree for this data to be processed in line with Talos Grappling's Privacy Policy.
I understand and accept that the sports and combat disciplines practiced at Talos Grappling are potentially hazardous, and accordingly I agree that I am aware of the risks and accept them and will personally bear all consequences of any injury I may sustain as a result of participation. I hereby expressly release Talos Grappling Academy, it's owners, employees. volunteers, other clients and agents from any actions, claims, liabilities, losses, costs or expenses arising from such injuries.
Initials
Today's Date
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