Informed Consent and Liability Waiver
I have enrolled in the Functional Fitness Gugu ("FFG") program offered by Marilyn Moss. I recognize that the program involves strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability
I hereby release Marilyn Moss, "FFG", and its agents, from any claims, demands, and causes of action as a result of my voluntary participation and enrollment.I fully understand that I may injure myself as a result of my enrollment and subsequent participation in this program and I hereby release "FFG" and Marilyn Moss , and its agents, from any liability now or in the future for conditions .
I undertstand these conditions may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to backs, injuries to foot, or any other illness or soreness that I may incur, including death.
I grant permission to the Functional Fitness Guru to interview, photograph and videotape me and use the aforementioned interview or images in promotional material without compensation.
I understand that if I fail to cancel within 24 hours of or show up for a scheduled session I may be charged for that session. I understand that I will be charged monthly unless I cancel. Cancellation due 5 days prior to the next charge. All payments are final and nonrefundable.

Thanks for submitting!