Gym Rentals

Name *

First

Last

Phone

Email *

Session *

Release of Liability *

I have read and acknowledge the risks associated with my participation, and that the Islamic Society of Cumberland is not liable for any injuries.

I assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, and all other such risks being known and appreciated by me. I acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. I acknowledge that the Islamic Society of Cumberland is not responsible for any injuries that may afflict me during my participation.

Code of Conduct Confirmation *

I confirm that I reviewed the attached code of conduct and ethics document in its entirety and agree to abide by what is expected of me as a participant.

Parents' Release of Liability *

I have read and acknowledge the risks associated with my childs' participation, and that the Islamic Society of Cumberland is not liable for any injuries to my child.

I assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, and all other such risks that may afflict my child. I acknowledge that my child is physically fit and mentally capable of performing the physical activity they will participate in. I acknowledge that the Islamic Society of Cumberland is not responsible for any injuries that may afflict my child during my participation.

Parent / Guardians Name *

First

Last

Parent / Guardians Phone *

Parent / Guardians Email *

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