Name

First Name

Last Name

Phone

(###)

###

####

Date Of Birth

MM

DD

YYYY

How would you like to connect?

Personal Training/Mobility

Massage Therapy

Osteopathy

Nutrition

I hereby declare that all the information provided in this registration form is true and accurate to the best of my knowledge. I understand that participating in physical exercise and fitness activities carries inherent risks, and I voluntarily assume all such risks. I acknowledge that HÜMN Connection and its staff are not responsible for any injuries or accidents that may occur during my membership. *

Agree

As we cultivate and create community with EVERYONE as equals, please note that you may encounter someone with views or opinions, may it be political or other, that may not align with you, and that’s ok. Be respectful, and use the space as it is indented, for exercising, learning, and becoming a stronger person both physically and mentally. Make friends, share experiences if you feel comfortable doing so. Everyone deserves a safe space to be themselves.

Agree