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Health declaration

Please fill out the following form.

Date of birth
Month
Day
Year
Assumption of Risk I understand that indoor cycling and fitness activities involve physical exertion that may result in injury, illness, or other health complications. I voluntarily assume all risks associated with participation.
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes
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Owner: Melissa McGregor

 

Address:1015 Stearman Drive

White House, TN 37188

Tel: 615-337-5230     

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