Parent/Guardian Information

Full Name *

Phone

Email *

Child Information

Child Full Name *

Child Age *

Second Child Information

Second Child Full Name

Second Child Age

Third Child Information

Third Child Full Name

Third Child Age

Payment and Liability Agreement *

I agree to a non-refundable $20 charge (per child) to my SOTA account to secure my spot. If the event is cancelled or I am unable to attend, the amount will be credited to my next membership billing cycle.

I assume full responsibility for any injuries, damages, losses, or death my child may sustain while attending or participating in any activity on or off the premises, and I waive all claims and release the studio, its instructors, and partners from any liability. I understand that no medical services are provided on-site. In consideration of my child’s participation, I agree not to sue and fully release Sota Fitness, Inc. d.b.a. Sota Personal Training, including its owners, officers, employees, agents, and representatives, from any claims related to physical injury arising from participation in any program or event.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE RELEASE/WAIVER AND FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS WAIVER VOLUNTARILY. PARENTS OR GUARDIANS MUST SIGN IF APPLICANT IS UNDER 18.

Today's Date *

Parent/Guardian Signature *

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