NewGen Fitness Enrolment Form

For Teens aged 12 - 15 years
Commences Monday 27 July to Wednesday 16 September
8 week program - 2 sessions per week
Mondays and Wednesdays 4:00pm to 5:00pm
Fees - $172.80

Enrolment forms must be received at least 48 hours before the commencement of session or program.

Please do not assume placement until confirmation has been received.

Participants Name

Given NameSurname

Date of Birth

Date

Age

Gender

Does the participant suffer from any of the following medical conditions

A Pre-exercise Screening Questionnaire must be completed and signed by a parent/guardian prior to participation in this program.

Parent/Guardian Name

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Emergency Contact

First NameLast Name

Phone Number

Area CodePhone Number

Are there any court orders relating to the guardanship, custody or access to the child enrolling?

Please provide specific details of any court orders relating to guardianship, custody or access

Do you consent to your child's photograph being used in future LLC promotions?

How did you hear about this program

Terms and Conditions of Enrolment

General

Please ensure your child arrives on time and waits in the Players’ Lounge for their trainer. This helps sessions start smoothly and gives everyone the most out of their time. Trainers are not responsible for locating late participants.
A completed Pre-Exercise Screening Questionnaire, signed by a parent or guardian, must be provided before your child can participate.
Please let the Health & Fitness Coordinator and/or trainer know about any medical conditions that may affect your child during sessions. In some cases, we may ask for medical clearance to ensure it’s safe for them to take part.
Sessions are not held on public holidays. Fees will be adjusted to reflect this.
The Centre cannot accept responsibility for any injuries that occur before a session begins.
For everyone’s safety, please let the trainer know if someone other than a parent or guardian will be collecting your child.
All participants must wear enclosed athletic shoes and bring a towel when using gym equipment—this is a requirement for participation.

Fees

Fees are not transferable between families.
If your child is unable to continue due to medical reasons, fees may be transferred to a future term with a valid medical certificate.
Payments can be made at reception or over the phone via credit card.

Missed Sessions & Cancellations

Unfortunately, we’re unable to offer make-up sessions for missed classes.
If your child can’t attend a session, please let us know as soon as possible.
Credits or refunds are not available for missed sessions or cancelled bookings once payment has been made.

Disclaimer

While we take every care to provide a safe environment, the Shire of Harvey is not responsible for injuries sustained by participants or others while using the facilities, whether caused by themselves, another participant, or a third party.
The Shire of Harvey is also not liable for any loss or damage to personal belongings.
This does not apply where injury, loss, or damage has been caused by the negligent or unlawful actions of the Shire of Harvey or its staff, contractors, or representatives.

Please ensure you have completed the Pre-Exercise Screening System (PSS) Parent Tool

I have read and agree to the terms and conditions of enrolment

Signature of ParentGuardian

Date

Privacy Collection Notice: The Shire of Harvey collects personal information to respond to enquiries and deliver services. Information is managed in accordance with applicable legislation and may be disclosed where authorised or required by law. For further information, visit the Collection Notices page .