Mandatory to sign before participation in Feeling Fit Exercise Programs.

I __________________________________________, do hereby understand that this sport/exercise program is a challenge of endurance and exercise can be dangerous to my health and that it may lead to death. I __________________release Kelly Mantel and Feeling Fit San Diego, promoting facility, it's employees and volunteers of Feeling Fit liable for any injuries or damage, or be subject to any claim, resulting from acts of active or passive negligence on the part of Feeling Fit/Kelly Mantel and ______________ for all such claims, demands, injuries, damages, actions or causes.

By signing below I acknowledge the waiver and agree to all terms:

Participants Name:_______________________________________________________

Child's Name:____________________________________________________________

Address:_________________________________________________________________

City, State, Zip:____________________________________________________________

Emergency contact name:_______________________________________
ph.#( )________-___________

Adult signature or legal guardian:________________________________________________

Date _____________