SALTOFIT 8 WEEK X-PRESS CLASS (NON MEMBER)

SALTOFIT X-PRESS HIIT

NON- MEMBER REGISTRATION FORM AND WAIVER
SALTOFIT PTY LTD ABN: 22 624 774 394

All client information is kept strictly confidential
1: PERSONAL DETAILS
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
2: HEALTH INFORMATION
Do you currently have, or have a history of, any of the following:

Any major surgeriesAny Chronic condirionsArthritisAsthmaDiabetesHeart DiseaseHigh Blood pressureLow blood pressureBack injuryBone injuryHip InjuryKnee injuryNeck injuryShoulder injuryWrist injuryAdd/ADHDAre you pregnantAspberger's/AutismEpilepsy, seizures or fainting
If you answered YES to any of the above, please explain. Please add any other health or medical information that may be relevant to assist us in teaching you:
3: RELEASE OF LIABILITY WAIVER
I have agreed to participate in SaltoFIT Pty Ltd activities. The activities include jumping on a trampoline, using resitance bands, weights as well as calisthenics and body weight exercises. I acknowledge that there are risks involved in participating in the SaltoFIT Pty Ltd classes, which may result in injury. In consideration of the above mentioned risks and hazards, and in consideration of the fact that I am willingly and voluntarily participating in SaltoFIT Pty Ltd activities, I, the undersigned, agree to release and discharge SaltoFIT Pty Ltd and any of its employees and volunteers from any and all liability and claims related to, arising out of, or in any way connected to my participation in this program. I agree to indemnify and hold harmless SaltoFIT Pty Ltd and any of its employees and volunteers against any liability incurred as a result of injury or loss. SaltoFIT Pty Ltd activities require that I be in good health and have no condition that could endanger my well-being through participation. I will notify SaltoFIT Pty Ltd of any such ailments and/or injuries in writing prior to participating in this activity. I have read the above waiver and release and by signing it I agree to participate in SaltoFIT Pty Ltd activities at my own risk. I fully understand that by signing I am forever giving up, in advance, any right to make claims against the parties I am releasing.*

I AgreeI DO NOT agree
4: MEDIA RELEASE
Participants involved in SaltoFIT Pty Ltd activities may be photographed and/or videoed. I, the undersigned, hereby give consent to the use of these images on the SaltoFit Pty Ltd website, or in any promotional and/or advertising material produced and published by SaltoFIT Pty Ltd.

YES, I give consentNO, I do not consent
Full Name of Participant*
5: SIGNATURE OF PARTICIPANT*

Clear
Date*

MonthDayYear
Date
6. Cancellation policy
SaltoFIT 8 week Xpress Program requires an upfront payment. This payment guarantees your trampoline in each class.Refunds will only be available within the first 4 weeks of the program, of which will be pro-rated. There will be no refunds available after 4 weeks. Please note that this refund does not apply to the gym membership portion of the payment.*

I AgreeI Disagree
Payment

8 WEEK HIIT (WGC member)*

8WEEK HIIT (non-member)4 x Express HIIT classes per weekMonday 6pm, Wednesday 6pm, Thursday 7pm, Saturday 11amPLUS 24hr/7 access to all gym facilities

$399.00AUD

Total

$0.00AUD

Credit Card

Should be Empty:

SALTOFIT X-PRESS HIIT

1: PERSONAL DETAILS

2: HEALTH INFORMATION

3: RELEASE OF LIABILITY WAIVER

4: MEDIA RELEASE

6. Cancellation policy

Payment

Credit Card