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BONFIT Health Waiver

To register please fill out the following medical form prior to attending and/or participating in BONFIT, LLC programs.

First Name

Email Address

Last Name

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities? *

No

Yes

Have you lost your consciousness in the last past 12 months? *

No

Yes

Are you experiencing any COVID-19 symptoms? *

No

Yes

Initials

Today's Date

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

Thanks for submitting!

Terms and Conditions

Ortonville, Michigan 48462 USA

getbonfit@gmail.com

810.214.0134

© 2021 by Bonfit

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