Boot Camp Enrolment Brisbane

Boot Camp Enrolment Form

Personal Details Full Name
Date of Birth
Gender Male Female
Address
Suburb
State
Postcode
Phone (home)
Phone (work)
Phone (mobile)
Email Address

How did you hear of Fitness 4 U?

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Session Preference Details Commencement Date
Location

Participation in a "boot camp" is a dangerous recreational activity with obvious risks as defined by the Civil Liability Act 2003. If you participate, you do so at your own risk. To ensure that you understand this, please read this form and tick in the boxes provided if you agree.

	I am aged 18 or over and am legally competent to sign this agreement. This must be checked in order to continue.
	I understand that participation in a "Boot Camp" is a physically demanding activity and involves risks, which may cause various physical injuries. I wish to participate and voluntarily assume the risk of injury to myself. This must be checked in order to continue.
	I hereby release and indemnify Fitness 4 U and its principal, Ron Daniels, its employees and agents, and any other persons involved in "Boot Camp" from all actions or claims for compensation arising from my participation, for personal injury or damage to property. This must be checked in order to continue.
	I agree that this waiver is ongoing and will apply to all future occasions I participate in "Boot Camp" with Fitness 4 U. This must be checked in order to continue.
	I acknowledge that this document is contractual and may be relied upon in any proceedings instituted by me, my heirs and executors, and this waiver, release and indemnity is given in consideration of Fitness 4 U permitting me to participate in "Boot Camp." This must be checked in order to continue.
	I agree to comply with all instructions given to me by Fitness 4 U relating to my participation in "Boot Camp." I agree to indemnify Fitness 4 U, its principal Ron Daniels, and its employees and agents against all liability that it may incur, including legal costs, caused by my negligence and/or failure to comply with instructions. This must be checked in order to continue.
	I understand that there will be no refunds for any missed session(s), but that any session(s) missed due to illness or work commitments may be made up by attending session(s) at another Boot Camp conducted over the same period, or by attending a Group Training or Group Boxing session(s). This must be checked in order to continue.
	I advise that I do not suffer from any medical condition that may affect my ability to participate safely in strenuous exercise. Relevant pre-existing medical conditions, injuries or illnesses are listed below: This must be checked in order to continue.

Details

Please tick if you're interested in:

Personal Training

Group Boxing

Group Training

Participant's Signature Enter today's date:

Emergency Contact Details Contact Name
Relationship
Phone

Cost:	$152.00 - New Boot Campers $128.00 - Previous Fitness 4 U Boot Campers $ 76.00 - Personal Training and Corporate Clients
Account Details:	Bank: Commonwealth BSB: 062308 A/C: MJN Investments Pty Ltd A/C#: 28044867

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