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267-627-4617

XERSIZEHER FITNESS & PERSONAL TRAINING

Personal Trainer for Women

Xersizeher Fitness & Personal Training

Client Waiver

Welcome to Xersizeher Fitness & Personal Training!

Please complete this form BEFORE your first visit!

First Name

Email Address

Last Name

Date of Birth

Are you aware of the physical requirements to participate in the program designed by XFPT?

No

Yes

I (participant) am solely responsible for my safety and fully release XFPT from any injuries or damages

No

Yes

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

6228 N. 8th St

Philadelphia PA 19126

267-627-4617

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