Registration

Full name*

First NameLast Name

E-mail*

Phone Number*

Birth date*

Date

Emergency Contact*

NameNumber

How did you hear about us?*

What are your pronouns?

optional

How would you describe your current level of physical activity?*

Inactive (I may do a walk once a week)Moderate (I get my heart rate up a few times a week)Active (I aim for 80% MHR at least 4 times a week)

	Yes	No
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
Have you been hospitalised in the last 6 months?
Do you have bone or joint problem (for example, back, knee, or hip) that could be worsen by a change in your physical activity?
Do you know of any other reason why you should not do physical activity?
Do you get light headed or faint frequently?

If you ticked YES to any of the above, please outline details. You may be requested to get medical clearance prior to starting with Pride Fitness Group.

Do you have any of the following?*

	Yes	No
High Blood Pressure
Diabetes
Asthma
Long Covid

If you ticked YES to any of the above, please outline details. You may be requested to get medical clearance prior to starting with Pride Fitness Group.

Is there anything you feel we need to know about your health?

I UNDERSTAND THAT attending training sessions is my responsibility and failure to attend a session will result in the forfeiting of the value of that session. No additional or alternate session will be offered. I understand that training is outdoors and proceeds in all weather, except extreme conditions as specified by Pride Fitness Group.*

YESNO

I AGREE to pay the full amount for my initial five weeks of training prior to the first session. Payment is via direct debit, I acknowledge that instructions for set-up will be emailed to me and I agree to set this direct debit up prior to commencing with Pride Fitness Group. We will email you prior to taking any payments, giving you full control over payments and allowing you to easily opt out of a round when life gets in the way.*

YESNO

ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT

DECLARATION: This Agreement is entered into between personal trainer Matthew Smith (“Trainer”) and the individual/s accepting these terms by indicating as such on the ticketing website (“Client”). The provision of group fitness services by Trainer to Client are contingent upon this Agreement.

ASSUMPTION OF RISK: You agree that if you engage in any physical exercise or activity, you do so at your own risk and assume the risk of any and all injury and/or damage you may suffer, whether while engaging in physical exercise or not.

You assume the risk of your participation in any activity, class, program, instruction, or event, including but not limited to weightlifting, walking, jogging, running, aerobic activities, strength training, or any other sporting, fitness or recreational endeavor.

You agree that you are voluntarily participating in the aforementioned activities and assume all risk of injury, illness, damage, or loss to you or your property that might result, including, without limitation, any loss or theft of any personal property, whether arising out of the negligence of Trainer or otherwise.

RELEASE: You agree on behalf of yourself (and all your personal representatives, heirs, executors, administrators, agents, and assigns) to release and discharge Trainer (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns) from any and all claims or causes of action (known or unknown) arising out of the negligence of Trainer, whether active or passive, or any of Trainer’s affiliates, employees, agents, representatives, successors, and assigns.

INDEMNIFICATION: By execution of this agreement, you hereby agree to indemnify and hold harmless Trainer from any loss, liability, damage, or cost Trainer may incur due to the provision of personal training by Trainer to you.

ACKNOWLEDGMENTS: You expressly agree that the foregoing release, waiver, assumption of risk and indemnity agreement is intended to be as broad and inclusive as permitted by Australian law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

You are aware and agree that by executing this waiver and release, you are giving up your right to bring a legal action or assert a claim against trainer for trainer’s negligence, or for any defective product used while receiving personal training from trainer. You have read and voluntarily signed the waiver and release and further agree that no oral representations, statements, or inducement apart from the foregoing written agreement have been made.

PHOTOGRAPHY RELEASE: From time-to-time, photographs or screenshots may be taken during the fitness activities. I give PRIDE FITNESS GROUP the irrevocable right to use my photograph/image and likeness in all forms and manner (“My Image”) for the purposes of advertising, media publicity, publication, general display or for any other purposes in whole or in part, including but not limited to publication on Internet websites. I waive any interest that I may have in the copyright to My Image now or at any future time and acknowledge that I am not entitled, nor shall in the future be entitled, to receive any payment or consideration in respect of it and agree to make no claim against PRIDE FITNESS GROUP for any payments for the Publication of My Image.

Initials*

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Grab some training kit:

Pride Fit shirt - $25Water Bottle - $20Trucker hat - $20

Client Registration

Health questionnaire

Waiver & Release