Small Group Sign Up — Movement Functional Fitness

Small Group Sign-Up Form

THANKS for supporting our little gym!

This is the form you need to fill in if you would like to sign up to a MOVEMENT Small Group Training class.

Once we receive your completed form we’ll email through payment details (if you have not yet received them).

Any questions, just let us know!

Name

First Name

Last Name

Terms and Conditions

Please check all boxes before submitting.

1.) I agree to pay $30 per week for 2 x classes per week.

2.) I understand that classes I have paid for in advance are non-refundable.

3.) I agree to give 2 weeks notice should I wish to cancel my Small Group Training membership.

Waiver of Liability for Gym Use

1.) I hereby understand and acknowledge that the training, programs and events held by MOVEMENT Functional Fitness may expose me to many inherent risks, including accidents and injury. 2.) I acknowledge the risk of injuries associated with participation in MOVEMENT Functional Fitness training sessions, including, but not limited to, falls, contact with other participants, and all other such risks present in a gym environment. 3.) I acknowledge that I am physically fit and capable of performing the physical activity I choose to participate in. 4.) I acknowledge my responsibility in communicating any physical and concerns that might conflict with participation in activity. 5.) In the event of an emergency, as deemed by the Gym in its sole discretion, I authorise MOVEMENT Functional Fitness to secure from any licensed hospital, physician or medical personnel any treatment deemed necessary for my immediate care. I agree to be responsible for payment of any and all medical services rendered and its associated costs. 6.) I agree MOVEMENT Functional Fitness are not responsible for any loss or theft of personal property brought to or left in the Gym. 7.) In consideration of all of the above, I agree, for myself and anyone entitled to act on my behalf, to hold harmless, waive and release MOVEMENT Functional Fitness, its employees and representatives from any responsibility, liabilities, demands, or claims of any kind arising out of my participation in MOVEMENT Functional Fitness programs, classes and/or events. 8.) I have read and understand this Waiver of Liability. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.

Social Media

Sometimes we will take photos and videos of classes taking place. Imagery may be used for marketing purposes on our social media platforms. Are you happy for your image to be used? We will of course do our best to show you in the best light!

Yes, I give permission for my image to be used for marketing purposes.

No, I do not give permission for my image to be used for marketing purposes.