Fill Out Waiver

hereby agree that by signing that document, I consent to 360 Life Changes legal right, including
the right to sue the following party and if applicable it owners, representatives, trainers, and facilities from any physical, material, tangible or intangible, loss, or damage that may happen to me
during my participation in any of the fitness services, (hereinafter, 360 LIFE CHANGES) undertaken
while under there instruction or thereafter: (Fitness Provider). I will be voluntarily participating in
the Fitness Services that will be conducted by Fitness Provider. These fitness services will include
but not limited to the following:

The following is the identifying and contact information from me, the client (Client)

The following is the identifying and contact information of the fitness provider:
360 Life Changes LLC
Company number: 1 (561) 389-5974
3469 W Boynton Beach Blvd, Suite 2 PMP 101, Boynton Beach, Florida 33436

It is my responsibility to consult a physician before participating in this or any fitness program
and I affirm that I have no medical conditions that would restrict me to participating any of the
360 Life Changes services.

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Company number: 1 (561) 389-5974


360 life changes llc
3469 W Boynton Beach Blvd
Suite 2 PMP 1011
Boynton Beach,Florida 33436