Liability Waiver | Bilt Wellness

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Bilt Wellness Liability Waiver

First name

Last name

Email

Date of Birth

Please specify any injuries we should be aware of.

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!

WWW.BILTWELLNESS.COM

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