Participant Name* First Last Email PhoneAre you currently a member of Heritage Medical Group?YesNoDo you want to know about Heritage LifeFit Fitness opportunities? Check the box, include your cell number and you may receive 2 texts per month. Consent is not a condition of purchase, only to receive text offers sent by an automatic dialing system. Message & data rates may apply. T/C & privacy policy @ hvvmg.com/sms-terms Hydration & Nutrition In considering participation in Heritage LifeFit Fitness classes, I agree to attend each session well hydrated and having eaten before working out. I understand that failing to do so will likely result in risk of dehydration, muscle fatigue, loss of coordination, and heat exhaustion. This puts myself, others, and the fitness program at risk. BehaviorWhile in sessions, I agree to behave in a manner of respect towards coaches and fellow participants. If my actions and words are consistently disrespectful or harmful, I understand that any Heritage LifeFit coach or Heritage staff member has the right to remove me from the session. I also agree that any negative action made on affiliated social media platforms can result in being removed from the program.Release of LiabilityBy signing this form I understand that my participation in this class may involve activities that are designed to increase physical activity and may also include fitness and conditioning. I understand a photograph of me in a fitness class might be used for promotional purposes. As with any physical activity or lifestyle changes I understand that Heritage Victor Valley Medical Group has recommended that I consult with my personal health care provider if I have been diagnosed with any major illness or am on medications that may be affected by lifestyle changes prior to participation in the class. In consideration for my participation in the class, I do hereby and forever discharge Heritage Victor Valley Medical Group (HVVMG) and its employees, jointly and severally, from any and all actions, causes of actions, claims and demands for, upon, or by any reason of damage, loss of property or injury which hereafter may be sustained by participating in the class. If I am a minor, I agree to sign and have a parent or legal guardian sign this form. In consideration for my participation in the class, I do hereby and forever discharge Heritage Victor Valley Medical Group (HVVMG) and its employees, jointly and severally, from any and all actions, causes of actions, claims and demands for, upon, or by any reason of damage, loss or injury which hereafter may be sustained by participating in the class. If I am a minor, I agree to sign and have a parent or legal guardian sign this form.Simply sign here with your mouse:Participant Signature*Parent/Guardian Signature