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  • Personal Details

    Please fill out this pre exercise questionnaire prior to commencing training with us.
  • Date Format: DD slash MM slash YYYY
  • Health Questions

    Do you have/experience any of the following:
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  • If yes, please specify ages
  • If so what type & how often
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  • WAIVER

  • WARNING:

    THIS IS AN IMPORTANT DOCUMENT WHICH AFFECTS YOUR LEGAL RIGHTS AND OBLIGATIONS. READ IT CAREFULLY AND DO NOT SIGN IT UNLESS YOU ARE SATSFIED THAT YOU UNDERSTAND IT. IF YOU HAVE ANY QUESTIONS PLEASE ASK YOUR REPRESENTATIVE.

    ACKNOWLEGEMENT OF RISKS, INJURY AND OBLIGATIONS

    I acknowledge that the activity I am to undertake is a dangerous activity and that by participating in it I am exposed to certain risks.

    I acknowledge and understand that whilst participating in such activity:

    • I may be injured, physically or mentally, or may die

    • My personal property may be lost or damaged

    • Other persons participating in such activity may cause me injury or may damage my property

    • I may cause injury to other persons or damage their property

    • The conditions in which activity is conducted may vary without warning

    • I may be injured or die or suffer damage to my property as a result of negligence or breach of contract of Shine Fitness. 

    • There may be no or inadequate facilities for treatment or transport of my if I am injured

    • I assume the risk of and responsibility for any injury, death or property damage resulting from my participating in the activity

    ACKNOWLEDGEMENT RELEASE AND ASSUMPTION OF RISK

    In consideration of the acceptance of my payment in the activity (and except to the extent that the same may be precluded by statute) I agree to release and indemnify Shine Fitness. 

    • I participate in the activity at my sole risk and responsibility

    • I release, indemnify and hold harmless Shine Fitness its servants and agents, from and against all and any actions or claims which may be made by me or on my behalf or by other parties for or in respect of or arising out of injury, loss damage or death caused by me or my property in any way, whatsoever.

    I also agree that in the event that I am injured or my property is damaged, I will bring no claim, legal or otherwise, against Shine Fitness in respect of that injury or damage.

    I acknowledge that I have either had a physical examination and been given my physician’s permission to participate, or that I have decided to participate in activity and use of equipment without the approval of my physician and assume all responsibility for my participation and activities, and utilization of equipment in my activities.

    Before signing this document I have read and understood and know it affects my legal rights.

  • Date Format: DD slash MM slash YYYY