7 Day Trial Membership Application

7 DAY TRIAL MEMBERSHIP
We'd love to have you as our Guest!

The 7 day trial includes 7 consecutive days of unlimited access to the gym, group fitness classes, pools, spa, steam room and squash.

To get started, submit your details on this form and then pop into the Centre to activate your membership—don’t forget to bring your ID!

The minimum age for this membership is 16 years. Members 16 – 18 years of age must provide parental consent.

Please note, this offer is for anyone who hasn’t been a member at LLC in the past three years. It’s the perfect way to see what we’re all about—come check us out!
Applicant Name:*

First NameLast Name
Gender:*

MaleFemalePrefer not to say
Date of Birth*

DayMonthYear
Are you 18 years or older?
Minimum age requirement for signing a membership agreement is 18 years.
Postal Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address:*
example@example.com
Applicant Phone Number (Mobile):*
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Which areas of LLC are you most interested in using?*

All of them, I want the full experienceJust the gymGroup Fitness classesVirtual Group Fitness classesLap swimmingSpa and SaunaSquash
Do you require ramp access for the gym?*
This helps us set up your access device
How did you hear about our 7 day trial membership?*

Word of MouthSocial MediaI saw it on your websiteAdvertising at LLCOther
By Signing this Agreement, I agree to the following:

1)    To abide by the rules of the Leschenault Leisure Centre.

2)    That I have read and understood the Membership Terms & Conditions below

3)    The Shire of Harvey will not be responsible for any injury suffered by either participant or non-participant while using facilities: whether the injury be self-inflicted, caused by another member of a group, or caused by another person not associated with the group. The Shire of Harvey will not be liable in any way for any loss of, or damage to the property of members, whether members or non-members of any group cause the loss or damage. This does not apply to the extent that any injury, loss or damage is caused or contributed to by the willful negligent or other unlawful act of omission of the Shire of Harvey or any of its employees, officers, agents or contractors.

TERM & CONDITIONS
7 DAY TRIAL MEMBERSHIP TERMS AND CONDITIONS

This membership gives unlimited access to the gym, group fitness classes (including virtual classes), aquatic facilities and squash. Members who are found to be using their membership for any conduct that is not in the spirit of the agreement, such as to grant another person use of or access to the centre facilities, will be in breach of contract and will have their membership cancelled as a result.

This membership:
- is valid for 7 consecutive days from the date of activation.
- cannot be suspended or put on hold.
- cannot be extended for days not used
- cannot be transferred to or shared with any other person
- does not include a health assessment or gym program
- is for person's aged 16 years or older
MEMBERSHIP ACTIVATION

After submitting this form, you will need to visit our Centre Reception during normal opening hours to activate your 7 day trial membership:
- You will be required to provide proof of ID to receive your access device
- You may be asked to provide proof of age
- Your photo will be taken and attached to your profile in our secure customer management system
- Members 16 – 18 years of age must provide parental consent before the membership can be activiated. We recommend bringing a parent/guardian with you when activating your membership.
ENTRY TO GYM AND GROUP FITNESS

The minimum age requirement to access the gym, group fitness classes, and spa or steam room facilities is 16 years.

Each member must scan their membership card on entry to the pool and/or gymnasium. At no stage are you permitted to give your Card to non-members to allow them to access the Centre. Members attending group fitness classes must write their name on registration sheets before starting the group fitness class.

Clients are required to observe the gym and facility rules. All clients must wear enclosed shoes, wear a shirt and bring a sweat towel to each gym or group fitness session, and must always use clips provided to secure plates on barbells.

NO SMOKING

Users are reminded that the entire centre is strictly a non-smoking area.

FOOD AND DRINK

Eating or drinking is only allowed in the area surrounding the servery. Food and drink is prohibited on all playing surface areas of the centre. Water bottles with re-sealable lids are permitted.

CONDUCT

The Manager or Venue Officer shall have the right to expel any person or group using the facilities, should their action or conduct be considered prejudicial to the proper use of the Centre. Memberships may also be cancelled and a fine imposed under the Council’s local laws.

EMERGENCY EVACUATION

If evacuation is required centre staff will warn people to evacuate. You must follow the instructions of staff at this time and leave the building.

IMAGERY AND VIDEOGRAPHY

Cameras and video equipment are not to be used in the Centre unless prior written permission has been sought from the Centre Manager.
I have read and agree to all Terms and Conditions:*

Yes
Signature

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Should be Empty:

7 DAY TRIAL MEMBERSHIP

We'd love to have you as our Guest!

7 DAY TRIAL MEMBERSHIP TERMS AND CONDITIONS

ENTRY TO GYM AND GROUP FITNESS

NO SMOKING

FOOD AND DRINK

CONDUCT

EMERGENCY EVACUATION

IMAGERY AND VIDEOGRAPHY