Adult Fitness Registration Form First Name *Last NameStreet Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeEmail Address *Phone *Concordia Arts Academy - ADULT FITNESS REGISTRATION, COMMITMENT and LIABILITY CONTRACTI am committing to a monthly membership for adult fitness classes at Concordia Arts Academy. I understand that I must give a 30-day notice via email to end this membership to office@concordiaartsacademy.com . I understand that my introductory rate will not be offered again if I end my membership and that I will have to pay whatever the current rate is at that time. I understand that if my auto-pay doesn’t go through or my payment is not made by the 10th of the month I will be charged a late fee of $10. I understand that if my account goes delinquent for more than 30 days I will lose my membership and my introductory membership rate. I understand that the schedule may change from time to time based on enrollment and instructor availability. I understand if there are only one or two participants in class, the instructor may opt to cancel the class. I understand that once my mindbody account is set up that I need to login and sign up for the classes I want to attend, OR text my instructor to let them know I’m coming. I understand there are no make-up classes if a class gets canceled. I agree that if I am wearing street shoes into the fitness/dance room that I will wash the bottoms off when I come in with wipes provided or hot water and a towel. I understand that street shoes that are not washed off on the bottom are prohibited on the fitness and dance floors.Because physical exercise can be strenuous and subject to risk of serious injury, we urge clients to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. I agree that by participating in physical exercise or training activities, I do so entirely at my own risk. Any recommendation for changes in diet including the use of food supplements, weight reduction and/or body building enhancement products are entirely up to me and I should consult a physician prior to undergoing any dietary or food supplement changes. I agree that I am voluntarily participating in these activities and use of these facilities and premises and assume all risks of injury, illness, or death. Concordia Arts Academy LLC is not responsible for any loss of your personal property. I acknowledge that I have carefully read this “waiver and release” and fully understand that it is a release of liability. I expressly agree to release and discharge Concordia Arts Academy, trainer or instructor, its members, managers, owners, officers, employees, contractors, agents, and affiliates from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action against the trainer, instructor, or Concordia Arts Academy LLC for personal injury or property damage. This includes but is not limited to all studios and locations of Concordia Arts Academy: 2095 Branford Pl #100 and #200 Thompson’s Station, TN and 2000 Tollgate Village Blvd #203, Thompson’s Station, TN.Signature *Start signing your signature hereYour browser does not support e-Signature field.Send Message