Classes are covered by the following supplemental insurances. Check your carrier and put in your “fitness id number” or check No Coverage.
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Florida Health Care Plans
Fitness id # is your 6 digit member number.
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Humans / Blue Cross Blue Shield / Aetna
Fitness id # is a Silver Sneakers number beginning with “2300”.
Fitness id # is a Renew Active number beginning with the letter “A”.
Fitness id # is a Silver & Fit 8 digit number & let your carrier know you are joining our program.
Those without coverage give a donation each visit when signing in.
I give my consent to participate in the exercise programs conducted by Synergy Fitness, Inc. I recognize that exercise carries some risk to the musculoskeletal system (sprains, strains) and the cardio respiratory system (dizziness, discomfort in breathing, heart attack). I hereby certify that I know of no medical problem that would increase my risk of illness and injury as a result of participation in a regular exercise program. By signing this consent form I understand that I am personally responsible for my actions and that I hereby release Synergy Fitness, Inc. and any of its officers or instructors from any and all liability for injuries that may incur.
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