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Gym Health Waiver

The first time you register with Zap Neuro Fitness please fill out the following heath waiver form

Have you received approval of Electrical Muscle Stimulation if you have a previous cancer/stroke diagnosis?
Are you curently pregnant or utilizing a cardiac pacemaker?
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Zap Neuro Fitness/ Verde Valley High Performance their directors, officers, officials, agents, supervising doctors and medical practitioners. volunteers and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors

Thanks for submitting!

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