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MEMBERSHIP SIGN UP

Please complete all sections of this form before joining The Ironworks Gym. Once your form has been submitted and reviewed, we will contact you to arrange payment and confirm your membership.

SIGN UP & MEDICAL WAIVER

Please complete all fields below

First name

Last name

Full Address

Contact Number

Date of Birth * required

Email

Membership Type

Emergency Contact

Emergency Contact Phone

Has your doctor advised that you should not participate in physical activity or exercise? * Required

Yes

No

Are you pregnant or within 12 months postnatal? * Required

Yes

No

N/A

Do you have asthma or any breathing difficulties? * Required

Yes

No

Have you had any surgery, serious illness or injury in the last three years that may affect your ability to exercise? * Required

Yes

No

Are you currently taking any medications? * Required

Yes

No

Do you have diabetes or epilepsy? * Required

Yes

No

Do you have any allergies? * Required

Yes

No

Has your doctor ever told you that you have a heart condition and should only participate in physical activity recommended by a doctor? * Required

Yes

No

Do you experience chest pain during physical activity? * Required

Yes

No

In the past month, have you experienced any chest pain when you were not doing physial activity? * Required

Yes

No

Do you ever lose your balance because of dizziness or lose consciousness? * Required

Yes

No

Do you have any bone or joint problems that could be made worse by changing your level of physical activity? * Required

Yes

No

Is your doctor currently prescribing medication for your blood pressure or heart condition? * Required

Yes

No

Is there any other reason why you should not take part in physical activiy? * Required

Yes

No

If you answered 'YES' to any of the above questions, please provide more information below.

GYM ELIGIBILITY

We do not accept any persons who have unspent or spent convictions for any sexual offence and those who have been or who are currently on the sex offenders register.

I confirm that I have read and understood the Gym Eligibility policy above.

I understand and agree to the following rules of the The Ironworks Gym. I will train safely and respectfully and will not deliberately put myslef or another person at risk.

I understand that I am responsible for my own safety while training and that exercise carries inherent risks, including the possibility of injury and illness.

I confirm that the information I have provided is accurate and complete to the best of my knowledge. I have disclosed any health conditions, injuries or other circumstaces that may affect my ability to exercise.

I agree to inform The Ironworks Gym staff if my health or circumstances change in a way that could affect my ability to train safely.

If I am under 18, I confirm that I have the permission from my parent or guardian to train at The Ironworks Gym unsupervised.

I understand that I am response for my personal belongings and that The Ironworks Gym cannot accept responsibility for lost or unattened property.

I confirm I have read and agree to the terms & conditionsView & Read T&C's & Waiver

I confirm that I have read the information provided, understand the risks associated with physical activity and agree to the terms of membership.

Your Signature

Thanks for submitting!

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