The Inle BrainFit Institute™ Membership Application

PERSONAL INFORMATION
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EMERGENCY CONTACT

FITNESS GOALS


LIABILITY WAIVER & MEMBERSHIP TERMS

I, the undersigned, being aware of my own health, physical condition and any limitations, and having knowledge that any exercise program may cause injury, voluntarily agree to participate in the programming set forth by the The Inle BrainFit Institute™.

Having this knowledge, I assume any and all risks which may occur from accidental injury and illness that may occur as a result in participating in the exercise programming created by The Inle BrainFit Insitute™. I agree that The Inle BrainFit Institute™, any of it’s collaborators, employees, representatives, shareholders, and directors are absolved from any injury, damage, or liability incurred while taking part in the exercise program created by The Inle BrainFit Institute™ or sustained in one of it’s associated facilities.

I agree to disclose any physical limitations, disabilities, ailments, impairments, medical/neurological symptoms which may affect my ability to participate in said exercise regimen. I also understand that while one of the goals of the exercise programming is to treat and manage these physical symptoms and underlying disease processes, I understand that the said programming is not a cure and does not replace standard of care medical treatments.

By signing/submitting below I agree that I received, read, and understand my rights with regards to payment and cancellation options and agree to the terms of this contract.

Thank you for contacting us!

Thank you for registering with The Inle BrainFit Institute® membership program. We will send you your individualized exercise program within 5 business days. 

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