Inner Circle - Risk Form - Fitness Planning Consultants

You should have already paid for the Inner Circle and received the instructions for how to gain access.

This is one of the last steps. Fill out this form and submit it. Once we receive it, we will allow you access to the Inner Circle group.

Company
This field is for validation purposes and should be left unchanged.
Name*
First Last
Email*
Provide the email address
Facebook Profile Name and URL You Use*
Sometimes people use maiden names or names different than what we see. This will help us match up your Facebook request with this submission.
Please write down ALL your medical conditions and those of any family members who would also participate in our virtual classes.*
Write down each family member and their medical conditions who potentially could be sharing this access with you. I.E. Jim Smith - knee problems, herniated disc 5 months ago.
Please check the box that you and anyone else using the Inner Circle including its classes, understand there is an inherent risk to any physical activity and assume responsibility for that risk.*
- Yes, I Agree
By submitting this form, everything you said was true and you indicate that you agree to the Terms of Use Agreement and have read and understand the Privacy Policy and Medical Disclaimer of the Fitness Planning Consultants, Inc. Fitness Planning Consultants, Inc. shall not be liable to the signee, nor any other person, for any claims or cause of action whatsoever arising out of or connected with the services of Fitness Planning Consultants, Inc.; and that I hereby release and discharge Fitness Planning Consultants, Inc. from any such claims or actions.

Inner Circle – Risk Form