Bionic Fitness Studio - Participation Form

Consent and Waiver Form (18+) | for u18s & parent/guardian consent form click here

Name*

First NameLast Name

Date of Birth*

Date

Contact Number*

Email Address*

example@example.com

Emergency Contact Name*

First NameLast Name

Emergency Contact Number*

Please select the options you wish to be notified about.

Family FitnessBionic Fitness Studio ClassesPersonal Training

1. Liability Waiver and Assumption of Risk

I, the undersigned, acknowledge that participation in physical activity may involve risks, including the risk of injury. This includes participation in live and pre-recorded instructional videos, as well as any in-person fitness activities. I voluntarily assume all risks and liabilities associated with my participation in these fitness activities, whether delivered in person, via live video, or through pre-recorded content.

By signing this waiver, I hereby release and hold harmless Bionic Fitness, its employees, agents, and instructors from any and all liability, claims, demands, or causes of action arising out of or in connection with any injury or accident that may occur during the fitness classes, including those conducted through live or pre-recorded videos.

I acknowledge and agree to the waiver above:*

Yes

2. Medical Consent / Health Information Form

In the event of a medical emergency, I authorise Bionic Fitness and its representatives to administer first aid and seek medical treatment if necessary. I understand that every effort will be made to contact my emergency contact before any such action is taken.

Do you have any allergies or medical conditions (e.g., asthma, epilepsy, food allergies)?*

YesNoIf yes, please specify:

Do you have any current injuries or conditions that could affect their ability to participate in physical activity?*

YesNoIf yes, please specify:

3. Photo / Video Consent (Optional)

From time to time, we may take photos or videos during fitness classes for promotional purposes, including social media, marketing materials, and website content. These images/videos will only be used to promote our activities.

I grant my permission to be photographed or filmed during class:*

YesNo

I agree to the use of such images and videos as described above:*

YesNo

4. Additional Information

If there is any other important information that the instructor should know regarding your health, behaviour, or needs, please provide details below:

5. Pre-Activity Readiness Questionnaire

PARQ Confirmation*

I answered no to all the PAR-Q questions, I can be reasonably sure that I can exercise safely and have a low risk of having any medical complications from exercise.I have gained medical clearance and understand the guidelines they have recommended I follow.

6. Acknowledgement and Agreement

By signing below, I confirm that I have read, understood, and agree to all of the above terms and conditions. I confirm that the information provided is accurate to the best of my knowledge. I understand that I can withdraw consent or update information at any time by contacting Bionic Fitness.

Participant Signature*

Date*

Date

7. Online Consent and Waiver

Please tick the box to confirm your consent to submit this form online with an electronic signature.

I hereby agree to submit this form electronically and understand that my digital signature is legally binding:*

Yes