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First Name
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Last Name
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Phone
Your E-Mail Address
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Notes to Business
(your address or any special notes about your order)
Item
Quantity
Total
TRX 10 Punch Pass (Strength/Pilates)
CA$185.00
Total:
CA$185.00
Coupon:
I, the undersigned, release and hold harmless Hive Quarters, its organization and all its instructors from any and all liability claims, demands and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by myself; the participant, while in or upon the premises under control and supervision of Hive Quarters, its organization, or enroute to or from said premises. I give permission to Hive Quarters and its instructors to seek medical treatment for myself, the participant. I understand that I am required to provide information regarding any relevant illnesses, restrictions, or conditions, either physical or mental, to Hive Quarters.
I, the undersigned, also give permission to Hive Quarters to use video footage and/or photographs of myself. This usage may include but is not exclusive to displaying publicly, distributing, or publishing photographs and or videos of myself for use in materials that include: printed materials, online and offline advertising, videos and digital images for use on social media. By signing this form, I acknowledge that I am giving unrestricted permission for my images to be used in print, video and digital media. I agree that these images may be used by Hive Quarters for a variety of purposes and that these images may be used without further notification. I do understand that any identifying information including surname and location will not be used in conjunction with any video or digital image.
By signing my name to this waiver, I am indicating that I am not presenting any symptoms of Covid 19 (see government checklist for full details) and have not come into contact with anyone presenting symptoms of covid19 within the last 14 days. I will contact Hive Quarters if I develop symptoms within 14 days of attending this class.
You must agree to the terms above to continue