Free day pass

 
Brickwall Gym and Fitness Center

 

ONE DAY GUEST PASS

 

191 Brockton Ave., Abington, MA 02351

 

781-878-2002
Please chose today or tomorrow for your free day pass
Must be at least 12 years of age
Your name
Your address
Phone
Emergency contact
Please enter details for emergency contact
Release and waiver of Liability:
I, for myself, my heirs, executors and assigns, have read and understand this waiver and have been fully informed of and acknowledge, assume and accept the risks inherent in the use of the Brickwall Gym and Fitness Center services and facilities. I voluntarily assume the risk of injury, accident, death, loss, cost or damage to my person or property which might arise from my use of the Brickwall Gym and Fitness Center and I release the Brickwall Gym and Fitness Center from any and all claims and liabilities resulting from ordinary negligence of the Center and its owners, officers, employees or agents. I certify that I am in good physical health and am able to undertake and engage in the range of physical activities in which I choose to participate, I assume all responsibility for updating the Brickwall Gym and Fitness Center of changes in physical and mental condition and for reporting all injuries sustained at the Brickwall Gym and Fitness Center to the manager on duty at the time. (please note that a parent or guardian must sign at the bottom of this form if the member is under 18 years of age.)