Form

Initial Client Form

  • PART A:

  • DD slash MM slash YYYY
  • eg. 23
  • Name & Number
  • NOTE If you have ticked any of the above, you need a signed medical clearance from your doctor before starting exercise.
  • Max. file size: 256 MB.
  • PART B: LIFESTYLE AND CURRENT EXERCISE HABITS

  • Type of exercise.
  • Important!

    This Pre-exercise Screening form is to be completed by any person who wishes to participate in any activity ran by MISFITS PERSONAL TRAINING. The pre-exercise Screening form contains a limitation of liability and should be read carefully.
  • TERMS & CONDITIONS

  • Please enter your full name
  • (The participant) in consideration of MISFITS PERSONAL TRAINING agreeing to accept me as a Participant, hereby acknowledge and agree that, to the extent of the law: I acknowledge that the activity I am to undertake is potentially a dangerous activity and that I accept the risks, which participating in such activity exposes me to. I declare that I am physically and mentally fit to proceed with the normal routine of exercise. I acknoledge and understand that whilst participating in the activity I may be injured, physically and mentally. I acknowledge and understand that any minor/child who is under my care that attends at an activity with me may be injured. I accept full responsibility for that child/minor. If I am injured there maybe no or inadequate facilities for treatment or transport. I assume the sole risk and responsibility for any injury or property damage resulting from my participation in the activity. MISFITS PERSONAL TRAINING accepts no responsibility for an loss, damage or injury caused to me or my personal property due to conditions beyond their control. Including, but not limited to, weather, grounds and exercise equipment. I hereby waive all claims(whether legal or otherwise), release, indemnify and shall keep indemnified Misfits Personal training with respect to any liability, theft, damage, loss or injury to myself or my personal property. Arising out of or in connection with my participation in any activity or exercise program, or use of facilities associated with any activity or exercise program. I accept the terms and conditions set out above following careful consideration of their scope and intent. I acknowledge that I have had a reasonable opportunity to read and understand the Pre-exercise Questionnaire. I accept exclusions of liability contained herein. The information contained in this form is true and accurate to the best of my knowledge.
  • Signing up to a bronze / silver / gold membership with Misfits Training Club has the following terms and conditions that apply. – Each membership has a 2 month initial commitment. – After the 2 months initial commitment 2 weeks notice is required to cancel your membership. – Memberships can be placed on hold for no longer then 2 weeks. – Sale prices/special offers/discounts/coupons are only for the length you hold your membership continuously. If you cancel or place on hold payments for more then 2 weeks, your membership will be re-instated at the full price.
  • DD slash MM slash YYYY
Where to find us!

Murwillumbah Showgrounds
Queensland Rd,
Murwillumbah NSW 2484, Australia
(Opposite the farmers markets)

OR

The Pavilions, 2-14 Henry Lawson drive, Terranora

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ABN 45 994 623 123

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