Name(Required) First Last Email(Required) Phone(Required)Attendee Name(Required) Please enter the full name of the child/teen that will be attending this class.Consent(Required) I HAVE READ THE BELOW STATEMENT AND UNDERSTAND AND AGREE TO THE CONDITIONSCONNECT AND CONQUER GYM RELEASE Terms and Conditions I hereby give my child permission to participate in physical exercise training classes conducted on behalf of CONNECT AND CONQUER located at the MTN OPS GYM, LLC (the "Studio") at 251 S Mountain Road Fruit Heights, Utah 84037 and understand and agree to the following: 1. Client agrees to assume full responsibility while voluntarily participating in any training class at the Studio or the Facility at Client's sole risk and discretion. Client shall abide by any rules and regulations for use of the Studio or Facility which may be promulgated from me to me by the Studio. 2. Client understands and agrees that there is a risk of injury associated with participation in any exercise program and that there exists the possibility for certain conditions occurring during or following training and/or exercise. These may include, but are not limited to, mild lightheadedness, fainting, abnormalities of blood pressure or heart rate, ineffective heart function in rare instances, heart attack or stroke. The reaction of the cardiovascular system to such activity cannot be predicted without complete accuracy. 3. It is strongly recommended that client receive a medical clearance from his/her private physician prior to starting or participating in an exercise training program. The Studio's training programs are not designed for individuals with known heart disease with or without functional impairment. 4. Client has been informed that any fitness program includes possible risks and all exercises shall be undertaken at Client's sole risk and discretion. Client assumes full responsibility for any and all damages, injuries or losses that may be sustained or incur, if any, while participating in any studio exercise program or physical activity. Client hereby waives all claims against the Studio, the Facility, the Studio instructors, officers, directors, employees or agents of either and/or any successor assigns or and all claims, demands, injuries, damages, actions, or causes of action, whatsoever to my person or property arising out of or connected to the services, facilities, exercise classes, or the facility where same is located (including the Studio and/or the Facility, as applicable). Client hereby agrees to indemnify, defend, hold harmless, release and discharge the Studio and Facility from all claims, demands, injuries, damage actions causes of action and from all acts of active or passive negligence on the part of the Studio, the Facility, the Studio instructors, their servants, agents, employees, and/or any successors and assigns, whatsoever, for any damages, injuries or losses that may be sustained by the Client arising from or in connection with the activities that Client voluntarily participates, including without limitation, attorney's fees, costs, and expenses of any litigation, arbitration or other proceeding. CONNECT AND CONQUER MEDIA RELEASE I give permission for my child/legal custody listed under Attendee Name to be featured in photos and videos that will be shared on social media, email newsletters and websites.Class Attendee(Required) Price: Coupon Total Credit Card(Required)Card Details Cardholder Name