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Please select the course you’re taking:
Extra uniform t-shirt ($25.00):
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T-shirt size:
How did you find us? (List individual’s name, publication, etc.):
Reason for taking the course:
What is your current fitness level? (i.e. how many times per week do you workout, and what type of workout):
Are you currently taking any medications? (i.e., blood pressure, heart medication, weight loss, thyroid, etc.):
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If yes, what is the medication and for what reason?:
If you are under a doctor’s care, what is the reason?:
, the undersigned, who lives at:
, County of
, City of
, State
, Zip

On behalf of myself, my heirs, administrators, and assigns, in consideration of the physical fitness training regimen being given to me hereby fully release and forever discharge The Original SEAL P.T. Course, Inc. (hereinafter referred to as The Course), releasee, of Harris County, State of Texas, and releasee's agents, successors, heirs, executors, administrators, assigns and all others who may be liable from all claims, present and future, known or unknown, in any manner arising out of personal injuries obtained as a result, directly or indirectly, from my taking the physical fitness exercise regimen known as The Course including any caused by the negligence or gross negligence of The Course. This release covers all damages whether or not contemplated at the present time and includes results undeveloped and unknown at the present time as well as those now known. I understand there are risks and dangers associated with participation in The Course and fully accept and assume such risks and dangers. I agree to waive any claims I may have against The Course for any of The Course's negligence or gross negligence, and agree not to sue The Course for any injuries and/or death and/or property damage.

I represent to The Original SEAL P.T. Course, Inc. that I am in good physical condition and good health, have recently been seen by my physician, and am taking The Course knowingly at my own risk.

I have been informed that the instructors for The Course are not physicians and though several of them may have had some military emergency medical training, that they are not trained as EMT's.

I agree that no representations have been made regarding the success of The Course to me except those expressly stated in the Release of Liability.

I have read all of the terms of this instrument and understand that I am signing a complete release and bar to any claim resulting from any injuries suffered as a result of taking The Course.

If you are a juvenile, please have your legal guardian fill out the additional information below:

By checking the box above, I agree to all terms and conditions set forth in the Release of Claims agreement, and that all information provided is factual.

You will receive confirmation from our corporate office following this email.

NOTE: All sales are final. No refunds will be given once you are enrolled.

Contact our office at 281-471-4977 to arrange or verify payment and receive additional details.