Date: 02/19/2025 | Time: 1PM
Location: Elevated Physical Therapy & Fitness, 51 Main St Westminster, MA 01473
Completion of this form serves as an acknowledgement that participation carries with it a risk of injury that cannot be eliminated regardless of the care taken to avoid such injuries and the undersigned individual shall assume all risk by participating in the screen. By signing above, I do waive and forever release any and all rights and claims for any damages and liabilities of any kind arising out of my participating in this event, against all persons, entities, and agencies involved with performing the service.
Elevated Physical Therapy & Fitness is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:
I agree to allow Elevated Physical Therapy & Fitness to store and process my personal data.
