Splash Centre Gym and Fitness Waiver Form (Under 16)

Splash Centre Gym and Fitness Waiver Form (Under 16)
PLEASE READ CAREFULLY THE CONTENTS OF THIS FORM BEFORE SIGNING.

I understand that participation in physical activity in the gym and structured classes is entirely at my own risk, including any risk of injury, illness, or death.

I acknowledge that some gym hours are unsupervised and release The Splash Centre and its staff from liability for any loss, damage, injury, or theft.

I accept that while The Splash Centre takes all reasonable steps to ensure safety, some risk cannot be eliminated. I agree to follow all facility rules, use equipment as intended, and behave responsibly. Failure to do so may result in loss of gym access.

I will update my Gym and Fitness Waiver if my health changes in a way that could affect my participation.
Further, I hereby acknowledge and declare that:

I acknowledge that I have read this waiver and that I fully understand the terms of this waiver and have signed it voluntarily. Any health issues known I have sought medical advice and have been cleared to partake it fitness classes and/or gym exercise – issues that may cause concern I have highlighted below.
Name*

First NameLast Name
DOB*

DayMonthYear
Date
CasualConcessionMembership
YesNo
Please provide details regarding existing injuries, mobility issues/aids or known medical conditions
Please include any prescribed medication you are currently taking.
Emergency Contact Information
Name*

First NameLast Name
Contact Phone Number*
Relationship to above named person*
Signature*

Powered by Jotform SignClear
Date Signed*

DayMonthYear
Date
Should be Empty:

Splash Centre Gym and Fitness Waiver Form (Under 16)

Emergency Contact Information