I, the undersigned, understand and voluntarily accept the risks associated with participating in physical activities offered by TITAN SHAPE.

In consideration of being allowed to participate, I hereby release and discharge TITAN SHAPE, its owners, employees, and agents from any and all liability, claims, or actions arising out of or related to my participation in these activities.

I acknowledge that I am solely responsible for my well-being and any potential injuries that may occur during or after participation, and that I've obtained medical clearance from my doctor, affirming the absence of any underlying medical issues.

First Name *

Last Name *

Phone *

Email *

Address *

Age limit is 30-55 - What is your age? *

Do you have any medical conditions, limitations or injuries that I should know about? *

Emergency Contact Information:

Emergency Contact Full Name *

Emergency Contact Number *

UPLOAD E-SIGNATURE *

Clear

E-Signature

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.