Common Contracts
1 similar Membership Agreement contracts
Membership AgreementMembership Agreement • June 6th, 2019
APPLICANT INFORMATION (Account Holder) Mr /Mrs /Ms /Miss Surname: Given Name/s: Address: Suburb: Postcode: Email: ID type /#: Phone: Mobile Home or Office D.O.B: ADDITIONAL MEMBER NAMES (Family Fitness Membership) 1. D.O.B: 3. D.O.B:: 2. D.O.B: 4. D.O.B:: EMERGENCY CONTACT Name: Phone: Relationship: HEALTH BACKGROUND SCREENING Do you suffer from a heart condition or have ever had any form of heart disease, or previously suffered a heart attack? Yes / No Name/s: Do you experience any pain while undertaking physical activity or exercising? Yes / No Name/s: Have you ever experienced faintness, dizziness, shortness of breath, or experienced a loss of balance? Yes / No Name/s: Do you have diabetes, asthma or suffer from high or low blood pressure? Yes / No Name/s: Do you have a bone or joint problem that could be aggravated by physical activity? Yes / No Name/s: Do you have any other medical condition or injury, currently taking medication, or know of any reason that would prevent you fro
