ADULT FITNESS ENTHUSIASTS
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To help us tailor the perfect training experience just for you, we’d love to know a bit more about your preferences:

By clicking the box above, I certify that I am over 18 years of age and I am in sound physical condition to participate in any of the fitness or sports performance programs offered by Train2Change Fitness & Performance held inside the North Bay Basketball Academy facility. I authorize the staff of Train2Change Fitness and Performance and/or North Bay Basketball Academy to act accordingly with their best judgment in an emergency situation. I have adequate insurance and hereby release Coach Robert Viramontes and any coaches, trainers, directors and staff associated or employed by Train2Change Fitness & Performance or the North Bay Basketball Academy from any and all liability in the event of an injury and/or illness requiring treatment, hospitalization, and/or surgery. Train2Change Fitness & Performance, the North Bay Basketball Academy or Robert Viramontes are not responsible for and will not provide any medical, dental, hospital, or laboratory fees due to injury while participating in a fitness or sports performance program conducted at the North Bay Basketball Academy facility, 50 Lisbon Street, San Rafael, CA . In the event of injury or illness, Train2Change Fitness & Performance, North Bay Basketball Academy, their staff and Rob Viramontes have my permission to provide emergency first aid care.

BY TYPING YOUR FULL NAME BELOW, YOU CERTIFY THAT YOU ARE 18 YEARS OF AGE OR OLDER. IF FILLING OUT THIS FORM FOR A MINOR, YOU ATTEST THAT YOU ARE THE PARENT OR LEGAL GUARDIAN OF THE PARTICIPATING ATHLETE