Membership Application Form

Membership Application Form

Come join us at TheHUB by completing this form.
Name*

li
Date of Birth*

DayMonthYear
22-05-2009
Gender*
Cellular Number*

Area CodePhone Number
E-mail*

Confirmation Email
Emergency Contact Name*

First NameLast Name
Date of sign up

MonthDayYear
Date
Emergency Contact Number*

Area CodePhone Number
Emergency Contact Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have any medical conditions or injuries we should know about?
Do you have a heart condition?
How did you find out about TheHUB?
*
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Casual$15.00NZD

10 TRIP$130.00NZD

Student $20.00NZD

3 Month Membership$45.00NZD

6 Month Membership$40.00NZD

12 Month Membership $30.00NZD
This includes, all classes and Open Gym sessions.

Petone Rowing Club Members 10 Trip$100.00NZD
Club members only

HIIT - Tue & Thurs 6.30pm$25.00NZD
8 Weeks Tue & Thurs 6.30am

Quantity

Mana Wàhine Term 4$25.00NZD
8 Weeks Tue & Thurs 9.30am

Quantity

Total $0.00NZD
What are your goals?
How many sessions can you commit to per week?
Would you be interested in Personal training to get you started?
Days / times you intend to train at TheHUB

MON 6amMON 6.30pmWED 6amWED 6.30PMFRI 6AMFRi 6.30pmSAT 8amMana Wahine Tue and Thurs 9.15amHIIT Tue and Thurs 6.30pm
The disclaimer goes on to highlight that “all exercise involves a risk of personal injury, including a small risk of serious injury or death, and agree that you are responsible for your health and well-being in relation to any exercise programme that you may undertake”.

Photos and videos may be used for promotional purposes, please let our coaches know if you do not want to feature in any social media, we respect your privacy.

Should you wish to cancel your membership early for health reasons or change of location, you will need to email hublife5010@gmail.com, you will need to give 4 week notice in writing.
Signature

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Signature Date

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