South Maroubra SLSC Gym Membership

Gym Membership

South Maroubra SLSC
Season
ABOUT YOU
Are you a
1. Name

First NameLast Name
2. Email
example@example.com
3. Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
4. Emergency Contact Name

First NameLast Name
5. Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
6. Are you Under 18 years of age?
7. If Yes to Q6 : Name of Parent/Guardian giving permission for U18 member to use the Surf Club Gym

First NameLast Name
8. MEDICAL INFORMATION
8.1 Medical - Have you ever suffered a hear condition, stroke, unexplained chest pains, dizziness or loss of balance?
8.2 Medical - Do you have asthma, diabetes (type 1 or 2), blood glucose issues or any muscle bone or joint problems or any allergies that could be worse participating in physical activity?
8.3 Medical - Do you have any other medical conditions or taking any current medications that may make it dangerous for you to participate in physical activity or exercises?
8.4 If you answered 'yes' to any of the medical questions above, please upload medical clearance or information to support your use of the gym

Cancelof
9. INDUCTION INFORMATION & ACKNOWLEGMENT OF GYM INSTRUCTIONS AND GUIDELINES

Commencing season 2026/27 - all existing and new gym members will be required to complete a face to face gym induction. From season 2027/28 only 'new gym members' joining will be required to complete a face to face induction. Members will receive an email offering a range of induction dates available for you to attend and complete in order to obtain or maintain access to the gym. This induction will only take a short period of time but is mandatory for the safety of all gym users. Once induction is completed, your gym access will be granted by the club office.
Please ensure you read the current club gym document at the following link on our website

SMSLSC Gym Instructions and Guidelines

GYM INDUCTION DATES WILL BE PROVIDED TO YOU BY EMAIL AFTER YOUR GYM MEMBERSHIP REQUEST HAS BEEN RECEIVED
I confirm I have read and understood the Gym Guidelines - Signature
Name

First NameLast Name
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Should be Empty:

Gym Membership

ABOUT YOU

8. MEDICAL INFORMATION

9. INDUCTION INFORMATION & ACKNOWLEGMENT OF GYM INSTRUCTIONS AND GUIDELINES