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Three Day Pass
Membership Signup Form (3 Day Pass)
Personal Information
First Name
*
Last Name
*
Mobile Phone Number
*
Email Address
*
Date of Birth
*
Address
Physical Activity Readiness Questionnaire
Has a doctor ever advised you not to take part in physical activity due to a heart condition?
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Yes
No
Do you experience chest pain during exercise?
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Yes
No
Do you ever feel faint, dizzy, or lose balance during activity?
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Yes
No
Do you have a bone, joint or back problem that could be made worse by exercise?
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Yes
No
Are you pregnant, or have you given birth in the last 10 weeks?
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Yes
No
Do you have any other injuries or medical conditions that we should be aware of?
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Yes
No
Are you currently on any medication?
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Yes
No
Please give details of all medications you currently take
If you answered “Yes” to any of the above, we may require a doctor’s note before you begin training. Please postpone exercise if you are unwell or recovering from illness or injury.
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I confirm the information provided is accurate to the best of my knowledge.
Gym Induction Waiver
All new members are offered a free gym induction to demonstrate safe use of equipment.
Do you require an induction?
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Yes
No
Members Agreement
Follow all gym rules and respect other members.
Use equipment safely and return weights after use.
Accept that exercise carries a risk of injury, and that Warehouse Gym, its staff and owners are not liable for injuries sustained through my use of the facilities.
Confirm I am fit to exercise, or have medical clearance if required.
Acknowledge that membership payments are non-refundable.
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I understand that exercise carries risks and that incorrect use of equipment can cause injury. I have declined an induction and accept full responsibility for my safety when exercising. I may request an induction free of charge at any time.
Marketing Consent
I would like to receive marketing emails about classes, offers and updates.
Signature
*
Submit
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