Participants Name *
Participants Name
Date *
Date
Parent/Guardian's Name
Parent/Guardian's Name
Phone Number *
Phone Number
As a condition to, and in consideration of, my use of Rx Sports Recovery center, including but not limited to, the exercise and recovery equipment located in the building having the street address of 541 West Highlands Ranch Parkway, Suite 103, Highlands Ranch, CO 80129. I have agreed to execute this Informed Consent Agreement and Waiver of Liability (this “release”) for Rx Sports Recovery and member and employees. I hereby certify, covenant and agree as follows: *