FitCity Membership Registration Form

FitCity Membership Registration Form

PHYSICAL ACTIVITY READINESS QUESTIONAIRE (PARQ)
@fitcityzambia

+260966577197

fitcityzambia@gmail.com
1. PERSONAL INFORMATION
Name

First NameLast Name
Age
Gender
Organisation
Current weight
Goals
CONTACT DETAILS

I. Personal contact information
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
II. Emergency contact information
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3. PARTICIPATION
What is your fitness level?
I. Would you like to be added to the WhatsApp group?
II. What is the main reason for joining boot-camp? Provide your response in the space below
iii. The Boot-camps also involve photos and social engagement that take place on site of the workout session and can also be used to check progress of the training and used for marketing purposes. Do you mind your images being used for such purposes?
iv. How did you find out about us?

Other
Other (kindly indicate source)
4. MEDICAL AND HEALTH
1. Do you have any existing health conditions, Injuries and/Or disabilities that might affect your overall wellness and/Or participation In the training session(s)? If so please state briefly what the condition is;
2. Do you have any existing injury notes from a physician or any other qualified medical personel that denies participation in some physical Activities?
3. Which medical aid scheme/provider are you under?
5. PAYMENT

We have the following payment plans for our Bootcamps

PLAN	PRICE
Daily	200
Monthly	1000
Quarterly	2400
Anually	10000

We offer the following payment methods;

Cash Payment at the reception
Bank Transfer into our FNB Account
Mobile Money Payments made via POS at the reception

NOTE: Please note that these are our only payments options and after making payment it is your responsibility to collect your Receipts, failure to do so means there is no proof of payment. For Bank payments kindly follow them through with PoP to be sent via WhatsApp.

Bank Details:

Account Name: FitCity Zambia Limited

Bank: FNB

Branch Code: 260001
6. ABOUT BOOT-CAMP

I. BOOT-CAMP WORKOUTS, TIME AND LOCATION
The Location of all our sessions is by the Gymkhana Club located within the Show Grounds. NB: Only public holidays that fall on bootcamp days guarantee a session

	Monday	Wednesday	Friday	Saturday/Public Holidays
Morning	05:30-06:30	05:30-06:30	05:30-06:30	One Session
Evening	18:00-19:20	18:00-19:20	18:00-19:20	06:30-07:30

7. RULES AND POLICIES
- FitCity Zambia Limited is not liable for any lost or stolen property that happened while working out or around he workout area.
- All FitCity Zambia Limited payments have to be done in a timely manner, otherwise correct communication channels have to be made in order to proceed with the training.
- Clients are to be dressed appropriate for workout sessions such as sweat pants, gym shorts and tops etc.
- No refund will be given to persons who miss workout sessions without following correct communication procedures.
- Most of our communication with our clients is posted on our social media and WhatsApp client group.Should you choose not to be added to the WhatsApp group you may miss out on vital announcements.
- We do not pause or carry forward any membership plans. Although we encourage you to participate in as many sessions as possible that responsibility lies with you to fully utilize your payment.
THEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS
Participant's Full Name

First NameLast Name
Participant's Signature
Date

MonthDayYear
Date
FITCITY ZAMBIA LIMITED WAIVER/INDEMNITY
Iblanks Consent to have enrolled in a fitness exercise class offered through FitCity Zambia Limited Fitness sessions.

I recognize that the program may involve strenuous physical activity, including but not limited to muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities.

I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent my participation in this program.

I acknowledge that my enrolment and subsequent participation is purely voluntary and in no way mandated by FitCity Zambia Limited and its representatives and/or stuff.

In consideration of my participation in this program, I hereby release FitCityZambia Limited and its agents from any claims, demands, and causes of action as a result of my voluntary participation and enrolment.

I fully understand that I may injure myself as a result of my enrolment and subsequent participation in this program, and I hereby release FitCity Zambia Limited and its agents from any liability now or in the future for conditions that may obtain.

These conditions may include, but are not limited to, heart attacks, muscle strain, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other lines or soreness that I may incur including death.

THEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS
Participants Full Name

First NameLast Name
Participant's Signature
Date

MonthDayYear
Date
Should be Empty:

FitCity Membership Registration Form

1. PERSONAL INFORMATION

CONTACT DETAILS

3. PARTICIPATION

4. MEDICAL AND HEALTH

5. PAYMENT

6. ABOUT BOOT-CAMP

7. RULES AND POLICIES

THEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS

FITCITY ZAMBIA LIMITED WAIVER/INDEMNITY