YOUR INFORMATION

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Email Address

EMERGENCY CONTACT

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MEDICAL INFORMATION

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SIGNATURE

BY COMPLETING THIS FORM YOU AFFIRM THAT ALL THE INFORMATION ABOVE IS TRUE AND ACCURATE. YOU AGREE TO THE TEST LIABILITY WAIVER FORM SET FORTH ABOVE FROM ADDWIRE CREATIVE STUDIO AND UNDERSTAND THAT THERE MAY BE RISKS ASSOCIATED WITH ANY SPORT OR PERSONAL TRAINING AND AGREE TO THE TERMS SET ABOVE. THIS IS A BINDING AGREEMENT BETWEEN YOU AND ADDWIRE CREATIVE STUDIO

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I AGREE THAT I HAVE READ AND AGREE FULLY WITH THE TERMS AND CONDITIONS SET FORTH ABOVE AND MY INFORMATION IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.