Schedule Appointment with COACHKEEM F&P TRAINING

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Item	Quantity	Total
Varsity Package	x $180.00	$180.00 per month
Total: $180.00	Coupon:

I agree to the Exercise Release Statement below:

During your exercise program, every effort will be made to assure your safety. However, as with any exercise program, there are risks, including increased heart stress and the chance of musculoskeletal injuries. In volunteering for this program, you agree to assume responsibility for these risks and waive any possibility for personal damage. You also agree that, to your knowledge, you have no limiting physical conditions or disability that would preclude an exercise program.

By checking the box, you accept full responsibility for your own health and well-being AND you acknowledge an
understanding that no responsibility is assumed by the leaders of the program.

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