Annual Waiver & Intake | Elite Fitness Lab

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ANNUAL WAIVER & INTAKE

Elite Fitness Lab, LLC — Version EFL-2026-09-08-V2. Complete annually on the anniversary of signing and report health changes sooner. You do not need to repeat this form every time you book.

Full legal name*

Email address*

Phone number*

Date of birth*

Month

Day

Year

Age*

Sport / activity*

Is participant under 18?*

Yes

No

Medical notes, current pain, or limitations

Emergency contact name*

Emergency contact relationship*

Emergency contact phone*

EFL-2026-09-08-V2: I intend my electronic signature to indicate agreement to the applicable adult agreement or guardian consent displayed above.

Participant or guardian electronic signature*

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Acknowledgment date*

ELITE FITNESS LAB

Purcell, Oklahoma | (405) 442-0390 | elitefitnesslab.ok@gmail.com

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