Metrowtower Fitness Centre Membership Form

Metrotower Fitness Centre Membership Registration

Exclusive to tenants of Metrotower I, II, and III
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Company Name *
Security or Access Card Number*
Please upload a picture of the numbers on the back of your Security or Access Card.

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Cancelof
Emergency Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
Membership Types
Length of Membership - Return members leave blank

Ongoing monthly membership - $ 30 per month GST included
Membership Terms

To cancel your membership we require 30 days written notice.

*Early termination of membership - you may cancel your membership prior to the three month minimum duration for the following reasons, your employment in the Metrotower office complex terminates or there is documented medical reason

Ongoing Monthly Memberhship - A minimum term of 6 months. The $ 30.00 ( $28.04 + GST) membership fee will be charged to your credit card each month. Once you have completed the initial three month term, your membership will convert to a monthly ongoing membeship untill you choose to terminate the contract.
How did you hear about the Fitness Centre?
Fitness Centre Guidelines
All members must be at least 16 years of age. No children are allowed in the Fitness Centre.

Please wear appropriate fitness attire that allows you to exercise safely and comfortably. Closed toe running shoes must be worn at all times in the weight/exercise room. Bare feet are permitted only during Pilates or Yoga classes held in the aerobic floor area.

Please wipe down equipment after use,

As this is a corporate fitness facility, do not use foul language and keep the volume of your voice and headphone music to a respectful level. Keep phone calls short Music on headphones only please.

Please return all WEIGHTS and equipment to their proper place.

Do not drop the weights.

Please allow others to use equipment between your sets.

Always bring your security card with you when visiting the fitness centre, do not lend your card to anyone.

Any lost, stolen, or damaged cards must be reported immediately to the Fitness Centre or to Security.

Your security card allows for access: 6:00 AM to 7:00 PM weekdays. (closed weekends and stat holidays)

Please do not bring any non-members with you to the facility. Bringing in non-members will result in your membership being revoked.

Security guards patrol the premises on a regular basis. If you notice anything out of the ordinary or feel that your safety is at risk, please speak to one of the security personnel immediately. Security #604-631-3986.
Fitness Centre Communicable Disease Prevention Protocol
In order to prevent the spread of Communicable Disease, we ask that all users of the fitness centre abide by the following guidelines:

Do not utilize the fitness centre if you have cold or flu-like symptoms.
Sanitize hands upon entry
Cover all coughs and sneezes and wash hands afterwards
Please respect your fellow members personal space.
I agree to the Communicable Disease Prevention*

YesNo
Health Questionnaire (Par-Q)
Common sense is your best guide when you answer this questionnaire. Please read the questions carefully and answer each one honestly: check YES or NO.

Par-Q*

	Yes	No
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain when you were not doing physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem (for example, back, knee, or hip) that could worsen by a change in your physical activity?
Is your doctor currently prescribing drugs (for example water pills) for your blood pressure or heart condition?
Do you know of any other reason why you should not do physical activity?

If you answered Yes to one or more of the questions above, you should consult with a doctor prior to engaging in a new exercise program.

I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction.
I agree to the Par-Q above*

YesNo
Waiver of Liability and Informed Consent Agreement
RELEASE OF LIABILITY, WAIVER OF CLAIMS ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
BY SIGNING THIS DOCUMENT, YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

PLEASE READ CAREFULLY!

TO: Owners and Operators of Fitness facilities at The Metrotower Office Complex, including Avison Young Real Estate Management Services, LP1085140 B.C. Ltd, Metrotower I Holding, Metrotower II Holding, 4710 Kingsway and 4720 Kingsway, known as Metrotower I and Metrotower II, and it’s Agents, and Curtis Personalized Health Management Ltd. and its’ Agents. (together, the ‘COMPANY”)

In this agreement, the term “FITNESS ACTIVITIES” shall mean weight lifting, weight training, aerobics and personal fitness or training activities of any kind and shall include all instruction, training, demonstrations and use of the COMPANY gymnasium equipment and facilities located at The Metro tower Office Complex (the “FACILITIES”).

ASSUMPTION OF RISKS

I am aware that FITNESS ACTIVITIES involve many risks, dangers and hazards including, but not limited to mounting, using and disembarking fitness or exercise equipment, moving, loading, lifting, securing and unloading free weights and other fitness equipment components; dropping free weights and other fitness equipment components; loss of control; entrapment; dehydration; over-exertion; fainting; muscle strain; bone breaks or injuries: angina; stroke; aneurysm; circulatory or respiratory problems; collision or contact with other fitness or exercise participants; failure to engage in FITNESS ACTIVITIES safely or within one’s own ability or within designated areas; negligence of other persons participating in FITNESS ACTIVITIES on or about the FACILITIES; and NEGLIGENCE ON THE PART OF THE COMPANY OR ITS AGENTS OR OTHER EMPLOYEES, INCLUDING THE FAILURE ON THE PART OF THE COMPANY OR ITS AGENTS OR OTHER EMPLOYEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF FITNESS ACTIVITIES.

I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH FITNESS ACTIVITIES AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
In consideration of THE COMPANY providing and permitting my use of the FACILITIES and other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:

2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of or personal injury to any third party, resulting from my use of or presence on or about the FACILITIES;

3. This Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity;

4. The Agreement shall be governed by and interpreted in accordance with the laws of the Province of British Columbia; and

5. Any litigation involving the parties to this Agreement shall be brought within the Province of British Columbia.

In entering into this Agreement, I am not relying upon any oral or written representations made by the RELEASEES with respect to the safety of FITNESS ACTIVITIES other than what is set for in this Agreement.

I HAVE READ AND UNDERSTAND THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.
I agree to the Waiver liability and Informed Consent above*

YesNo
Canadian Anti-Spam Legislation (CASL) Permission
By Initialing you are providing your express consent to receive electronic communications about services or products that may be of interest to you such as: fitness tips, programs, upcoming events, and special offers. You may withdraw your consent at any time.
I agree to the CASL permission above*

YesNo
Data Storage Consent
I consent to the collection, use, and disclosure of my personal information in accordance with the Curtis Personalized Health Management’s privacy policy, some of which may be stored securely outside of Canada. This includes access to my personal information by Curtis Health Personal Trainers, and Instructors who may use my personal information to provide me with health-related services that I have requested.
I agree to the Data Storage Consent above*

YesNo
Signature*

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Metrotower Fitness Centre Membership Registration

Membership Types

Fitness Centre Guidelines

Fitness Centre Communicable Disease Prevention Protocol

Health Questionnaire (Par-Q)

Waiver of Liability and Informed Consent Agreement

Canadian Anti-Spam Legislation (CASL) Permission

Data Storage Consent