Posted By Olivia Kincaid — 15th November '17 Fitness Suite Registration Form Sign up below for the Academy Fitness Suite. Step 1 of 4 0% Name* First Last Date of Birth* Date Format: DD slash MM slash YYYY Gender*Please chooseMaleFemaleEmail* Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Mobile Number*Home NumberEmergency Contact Number*Health ConditionsFurther InformationDo you require a Gym Induction?*Please chooseYesNoA Gym Induction is recommended for people to become more familiar with the equipment and it's uses. Terms and Conditions Please confirm you have read the terms and conditions below by checking the box before proceeding. You agree to abide by the clubs rules and policies and that this data may be stored in our club database. Your answers are confidential, we, The Academy of Gymnastics will find this personal data useful for monitoring the success of our programmes. We will not pass this information to any third party, except for the purpose of insurance. We will collect and process all personal data inline with the Data Protection Act 1998. I agree not to use any item of exercise equipment without previous expereince or receiving full instruction beforehand, from a member of Qualified Academy Fitness Staff. I am aware that physical activity can be hazardous and there is a risk involved. It is my responsibility to make sure that I am capable of doing the exercises. If you have any concerns about your physical condition, you must get medical advice before using our facilities and embarking on a programme. Whilst optional we also recommend a gym induction with one of our personal trainers. We may refuse you access to our facilities if we consider the use of such facilities could put your health at risk.I have read and agree to the terms and conditions* Yes Health Declaration Please confirm you have read the terms and conditions below by checking the box before proceeding. You warrant, declare and acknowledge that: Our staff are First Aid trained, however if you are not medically trained and should you have any concerns with your health and fitness you should seek independent medical advice before engaging in any physical activity on our premises. To the best of your knowledge and belief you are in good health and not knowingly incapable of engaging in either active or passive exercise and that such exercise would not be detrimental to your health, safety, comfort, well being or physical condition. Further, that you will advise us immediately should your health or vulnerability to injury change. You have read and understood this agreement and all of its the Terms and Conditions before accepting them. You are primarily responsible for your health and wellbeing, but we at The Academy are concerned that you enjoy our facilities safely. To that end we consider that we should expect the following of each other. From us: Whilst we will respect your decision over your training regime we reserve the right to ask you not to exercise beyond what we reasonably believe to be your personal ability. We shall endeavor to maintain a safe environment for you to enjoy your exercise. We shall endeavor to ensure that our Fitness trainers and staff are qualified to fitness industry standards. We shall at all times keep confidential any information that you give us regarding your health. You agree that your doctor has never advised you of a heart condition, and are not currently on medication for a heart or blood pressure related condition. You also agree that you have never been informed that your blood cholesterol is high or that you have sought approval from your doctor that you are fit and well enough to take part in physical activity in a gym environment. Payment Please read the payment policy below. Membrship is paid in advanced using WorldPay FuturePay. The convenient payment method allows you to pay for your current course, and pre-authorises us to take payments for your future courses and membership fees. This will be done on a specific date, which you will be notified of in advance by email. Fees will be taken on or after the date due. Card details are held securely by WorldPay, not by The Academy of Gymnastics, and you can cancel your FuturePay agreement at any time. No refund of transfer of fees is available on Fitness Suite Memberships. The opening hours of our Fitness Suite can be viewed on our Website. We will send you an individual email when your membership is due to expire. An initial payment of £20.00 will need to be paid with this registration. We will then contact you to arrange the WorldPay FuturePay for you to confirm your Direct Debit details. Monthly fee* Price: £ 20.00 View our Returns and Refund PolicyPhoneThis field is for validation purposes and should be left unchanged.