Registration is quick and easy with our simple online form below.  After filling in the required fields and clicking the Register button, an activation email will be sent to you.  Follow the instructions in that email to activate your account, and you will be able to login and begin scheduling all of your workouts online!

PERSONAL INFORMATION (REQUIRED)
FIRST NAME		LAST NAME
EMAIL		PASSWORD
COMPANY		PHONE
WORK PHONE		CELL PHONE
ADDRESS		ADDRESS 2
CITY		STATE	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Outside US
ZIP
GENERAL HEALTH QUESTIONNAIRE (RECOMMENDED)
FITNESS GOALS
DO YOU OR HAVE YOU EVER HAD:
Heart Attack / Heart Trouble		Musculoskeletal Limitations of Movement
Coronary By-pass Surgery or Angioplasty		Difficulty Breathing / Shortness of Breath
Abnormal or Positive Stress Tests		Arthritis, Rheumatism
Heart Murmur or Heart Abnormality		Knee Problem
Irregular Heart Beat or Rhythm		Chronic, Recurring Morning Cough
High Blood Pressure (145 / 95)		Increased Anxiety or Depression
Impaired Circulation		Swollen, Stiff or Painful Joints
Stroke		Back Pain
Convulsions or Loss of Consciousness		Surgery
Diabetes		High Blood Cholesterol Level
Are You Taking Medications?		Are You or Have You Taken Diet Pills?
Do You Smoke?
ANY OTHER IMPORTANT HEALTH ISSUES: If you have answered "YES" to any of the above situations, please consult your doctor prior to commencing any fitness program. The Your 1 Source Fitness & Fit to be Tied Fitness Training Inc and The Training Loft strongly urges all program participants to obtain a physical examination from their physician prior to beginning any fitness program.   I certify that the above information is correct and complete. I understand that Your 1 Source Fitness, FIT TO BE Tied Fitness Training Inc assumes no responsibility for illness, accident or injury that may incur from the use of the program, equipment, services, machinery or facility.
WAIVER & AGREEMENT In consideration for participation in the activities and programs of Your ONE Source Fitness & Fit to be Tied Fitness Training Inc. and to use associated "The Training Loft LLC", machinery and equipment in addition to the payment of Fit to be Tied fitness Training Inc and Your 1 Source Fitness, fees or charges I do hereby waive, release and forever discharge Fit to be Tied fitness Training Inc and Your ONE Source Fitness and its owners, officers, employees, affiliates, representatives and all other from any and all participation in any activities at said facilities. I do hereby release all of those mentioned and any other acting upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any of or connected with participation in any activities and programs of the Fit to be Tied fitness Training Inc and Your ONE Source Fitness. I understand and am aware the strength, flexibility and aerobic activity, including the use of equipment, are a potentially hazardous activity. I also understand that fitness activities involve a risk injury and even death and that I 'am voluntarily participating in these dangers involved hereby agree to expressly assume any and all risks of injury and death. I do further hereby declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in any of the activities and programs or use of equipment or machinery except as hereinafter stated. I do hereby acknowledge that it has been recommended that I have a yearly or more frequent physical examination and consultation with my physical as to acknowledge that I have permission to participate or that I have decided the approval of my physical and/or use of equipment and machinery without the approval of and do hereby assume all responsibility for my participation and activities and utilization for equipment in my activities. Explanation of session: The exercise session you will become involved in will follow progressive exercise levels and will be regulated by your Fit to be Tied fitness Training Inc and Your ONE Source Fitness trainers. The sessions may consist of aerobic type activities (rhythmical exercises which utilize large muscle groups for extended periods of time) such as jogging cycling, weight lifting, or other similar activities. These exercise activities are designed to place a gradual workload on the body and thereby improve it functioning although no guarantee of improvement can be made. During the exercise session you may experience local muscular soreness and fatigue. Confidentially: The information based on the observations made during the exercise session is treated as privilege and confidential. However, it may be used for statistical or scientific purpose with your right to privacy retained. Risk and Discomfort of Exercise Session: The reaction of the cardiovascular system to such activities cannot always be predicted with complete accuracy. Therefore, there is a risk of certain changes occurring during or following the exercises. These changes include abnormalities in blood pressure, heart rate and in rare instances cardiac complications. A physician will not be present and symptoms of adverse reactions or responses to exercise will be provided before participating in the exercise session. Should you observe any adverse reactions by the observations during the exercise sessions? Personal trained in emergency first aid will be available to deal with minimize the risk of unexpected events should they occur. Injury: You may refuse to participate now or stop at any time during the exercise session. It is your decision. Before signing this form, please feel free to ask any questions regarding any aspects of the program that may be unclear to you. Take as much time as necessary to think it over and if you wish, discuss your participation with your doctor.
I have read the above and do consent to participate in Fit to be Tied fitness Training Inc and Your 1 Source Fitness training programming.