Damon Moves Registration Form

First Name*

Last Name*

Name you prefer to be called

Email*

Sex*

Date of Birth

MonthDayYear

Best Number To Contact You *

Area CodePhone Number

Alternate Phone Number

Area CodePhone Number

Emergency Contact Name/Relationship to You.*

Emergency Contact Number*

Area CodePhone Number

How did you hear about Damon Moves?*

*Friendʻs Name/Other

Desired Start Date*

Program You are Registering For?*

I have read and agree to the *Waiver below and by clicking "I Agree", I am giving my electronic signature.*

I Agree

*Waiver:
In signing this form, I will in no way hold any member of “Damon Moves” responsible for any injury whatsoever. I understand that this is a voluntary workout group and I enter upon my own will, understanding the risks involved. If you have any physical limitations, we advise you to check with your physician before starting any new exercise program. Also, by signing this registration form I hereby grant Damon Moves., and any of its partnering subsidiaries, permission to record, photograph, and reuse for their commercial and/or promotional benefit my likeness or personage in any reasonable fashion without expectation of any compensation.