Small Group Fitness Registration - Competitive Edge Physiotherapy

Name*

First Last

Date of Birth*

Cell Phone*

Email*

I agree to release and waive all claims and hereby indemnify and hold harmless the Corporation of Competitive Edge Physiotherapy and Sport Conditioning (CE) and its elected officials, officers, employees, agents representatives, volunteers and other participants (“The Indemnified Persons”) for a any and all liability for any property damage or personal injury resulting to me or to any of the above-named person(s) for whom I am in law responsible, from or connected with participation in any activity contemplated by this Registration. I hereby further agree that CE and the Indemnified Persons shall not be liable, either directly or indirectly, for any claims, or damage, costs and expenses respecting any act done in good faith, including but not limited to personal injury, death, property damage or loss resulting from or connected with participation in any activity contemplated by this Registration. I have read and understood the Waiver of Liability*

Yes
No

YES, I consent to use my child's name and identifying images and/or recordings in Competitive Edge Physiotherapy and Sports Conditioning Marketing Material, for example Social media and Website advertisement.*

Yes
No

Session Selections

Wednesday 6-7pm
Friday 7-8pm
Saturday 9-10am

Rate Options

2 Person - $40.00 plus HST ( $45.20)
3-5 Group - $35.00 plus HST ($39.55)
6-8 Group - $30.00 Plus HST ( $33.90)
8 session PKG - $25.00 plus HST($28.25) ***

*** Consecutive dates. Forfeit the session if unable to attend. *Payment must be received to confirm your spot. E-Transfer with player name to [email protected].

I Have Read and Understood the Registration and Payment options

Agree