Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Checkbox *

By ticking this box you agree and understand that Māia CrossFit has taken all reasonable steps to minimise the risk of injury, however agree and understand that all forms of exercise come with a degree of risk and therefore will not hold Māia CrossFit or any agents acting on its behalf liable for any injury or damage except in the case of gross negligence.

Agree