7-Day Free Trial

2. Name*
3. Address*
5. City or Town*
6. Zip or Postal Code*
7. Phone Number*
9. Birth Date*
10. Preferred Trial Start Date*
11. Email Address*
13. Release Hold Harmless I agree to release Walker Ice & Fitness Center from all claims, actions, causes of actions, damages by the undersigned person, their parents/guardians and for loss or injury resulting from the participation of such person in this program. I further agree to indemnify and save harmless such parties from all claims, action, damages or demands including all costs and expenses incurred in defending any such claims or actions. I have read the release and understand that this is a full final release of all claims for injuries and damages sustained in Walker Ice and Fitness Center and understand the responsibilities I have assumed thereunder. The Walker Ice and Fitness Center Management reserves the right to revoke this trial membership at anytime.(please read and sign - digital signature is fine)*
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15. 1. Receive an email copy of this form.
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