•••• •••• •••• ••••Entered on our secure terminal — do not write here
Billed securely on the date selected — your full card number & CVV are never stored on this form.
Health acknowledgment (PAR-Q)
Check any that apply. If you check any box, we'll ask you to clear training with your physician before your first session.
A doctor has said I have a heart condition or high blood pressure YES
I feel chest pain or dizziness during physical activity YES
I have a bone, joint, or back problem made worse by exercise YES
I am pregnant, or have any condition a physician should review YES
None of the above apply — I am cleared to train N/A
Waiver & terms
Assumption of Risk & Release of Liability
I understand that strength training, conditioning, and use of equipment involve inherent risk of injury. I voluntarily assume that risk and agree to train within my ability and to follow staff and coaching instructions.
I release IRONLINE Strength + Conditioning, its staff, and coaches from liability for injury or loss arising from my use of the facility, except where caused by gross negligence. Membership dues are billed on the schedule above and continue until I cancel in writing per the posted terms.
I have read and agree to the waiver, terms, and the health acknowledgment above.