Zumba Enrollment Form

Zumba® Fitness was created in the mid-90’s by Colombian native Alberto “Beto” Perez, a celebrity fitness trainer and choreographer for International pop superstars. Beto paired the Latin rhythms with the red-hot international dance steps his clients loved and Zumba® Fitness was born! Since Beto brought Zumba® Fitness to the US in 1999, it has become one of the fastest-growing, dance-based fitness crazes in the country, with people of all ages falling in love with its infectious music, easy-to-follow dance moves, and body-beautifying benefits.

First Name (Required)

Last Name (Required)

Your E-Mail Address (Required)

Zumba Day/Time/Dates (Required)

Location: Crawford Gym- Gymnasium (Belknap Campus)

Jan 16-April 13 [excluding Mar 13]

Agreements (Required)

I certify that I am a UofL Employee/Retiree or their Spouse/Qualifying Adult

Agreement to Participate (Required)

By submitting this form, you are agreeing to the following statements:

This is an agreement to participate in the Get Healthy Now Activity Program at the University of Louisville. Listen, follow along, and initial each section. I understand that every precaution has been taken to provide the safest environment; however, I also understand it is impossible to prevent all accidents and incidents. Injuries include but are not limited to: cuts, scrapes, heat-related injuries, shin splints, joint injuries, muscle cramps, muscle strains, sprains, tendonitis, or death.

To help reduce the risk of injury to yourself or other participants, the following safety rules need to be followed in class:
   1.Follow all precautions given to you by a Get Healthy Now Fitness Specialist.
   2.Monitor your physiological responses to the activity.
   3.Avoid ballistic stretching.
   4.Wear proper clothing and shoes.
   5.Always warm-up and cool-down.
   6.Stop activity if you do not feel well.

I agree to follow the preceding safety rules as well as any others given in the program.

I certify that I am physically capable to participate in physical fitness and understand I am free to discontinue activity any time I feel undue discomfort or stress. I will notify the Get Healthy Now if I have any medical contraindications that would preclude activity.

I have read the preceding warnings and risks, and have had the hazards explained to me, and I have had an opportunity to ask questions and have them answered. I fully know and appreciate the risks inherent in physical fitness and am voluntarily participating in this activity.

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Zumba Enrollment Form

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