Fitness Class Booking Form Step 1 of 4 25% Name* First Last Email* Enter Email Confirm Email Address Street Address Address Line 2 City County Post code Mobile Phone*Date of birth* DD slash MM slash YYYY dd/mm/yyyyNext of kin name* First & Last nameNext of Kin Emergency number:* Physical Activity Readiness Questionnaire (PAR-Q) Regular physical activity is fun and healthy, and increasingly more people are starting to become more active everyday. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming more physically active. If you are planning to become more physically active than you are now, start by answering the questions in the box below. Please read the question carefully and answer each one honestly by ticking YES or NO. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?* YES NO Please can you provide more information*Do you feel pain in your chest when you do physical activity?* YES NO Please can you provide more information*In the past month, have you had chest pain when you were not doing physical activity?* YES NO Please can you provide more information*Do you lose your balance because of dizziness or do you ever lose consciousness?* YES NO Please can you provide more information*Do you have a bone or joint problem that could be made worse by a change in your physical activity?* YES NO Please can you provide more information*Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?* YES NO Please can you provide more information*Do you know of any other reason why you should not do physical activity?* YES NO Please can you provide more information*Please note: If your health changes so that you then answer YES to any of the above questions, tell your fitness professional at The PT Factory Release of Liability THE PT Factory LTD Regular physical activity is fun and healthy, and increasingly more people are starting to become more active everyday. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming more physically active. Please sign this document before any access to the paid for services can be allowed.1. I understand that I am signing this document because I want to participate in fitness classes provided by THE PT FACTORY LTD. By signing this document, I do hereby waive, release and discharge THE PT FACTORY LTD and their agents, employees, representatives, executors and all others acting on their behalf from any and all claims or liabilities for injuries caused. This includes my participation in any activities, programmes or services of THE PT FACTORY LTD and or the use of any equipment provided and/or recommended by THE PT FACTORY LTD.2. I have been informed of, understand and am aware that any exercise programme, whether or not requiring the use of exercise equipment, is a potentially a hazardous activity. I also have been informed of, understand and am aware that any exercise and/or fitness activities involves a risk of injury, including a remote risk of death or serious disability, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury regardless of severity or death. 3. I do hereby further declare myself to be over the age of eighteen as of the date of signing this document, physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation in these activities, whether or not the activities require the use of any equipment. I do hereby acknowledge that I have been informed of the need for a physician's approval (if required) for my participation in the fitness programme. I acknowledge that either I have had a physical examination and have been given my physician's permission to participate or I have decided to participate in the exercise activities, programs and use of equipment without the approval of my physician and do hereby assume all responsibility for my participation in said activities, programmes and use of recommended equipment. 4. I understand that all information and services provided by THE PT FACTORY LTD is of a general nature and is provided for educational purposes only. None of the information or services provided by THE PT FACTORY LTD Is to be taken as medical or other health advice pertaining to any specific health or medical condition that I may have or have had. The information and services provided by THE PT FACTORY LTD Is not a diagnosis, treatment plan, or recommendation for a particular course of action regarding my health and is not intended to provide specific medical advice. THE PT FACTORY LTD cannot guarantee specific results, you will get out what you put in to your training, and I fully understand this. Signature*Confirm Name* THE PT FACTORY LTD FITNESS CLASSES MEMBERSHIP CONTRACT/TERMS AND CONDITIONS ONLINE PAYMENTS1. By signing these terms and conditions, I understand that I can book as many or as little fitness classes in one booking on THE PT FACTORY secure booking and payment system. Furthermore, I understand that all classes must be paid for online before participating.2. Results will vary by individuals and The PT Factory LTD cannot guarantee specific results. I acknowledge that I am responsible for my decisions regarding whether or not to exercise consistently, eat properly, rest enough, and live a healthy lifestyle. I take full responsibility for my actions whilst on the premises at The PT Factory LTD and understand that The PT Factory LTD have the option of cancelling my Fitness classes membership at any point, without any notice period or refunds due to what they deem a serious breach of rules.3. Each Fitness Class last approximately 50 minutes. In order to provide the best service to all customers, The PT Factory LTD cannot commit to extending any particular session. 4. In order to provide the best possible service to all customers, The PT Factory LTD asks that all customers are ready to begin their session at the scheduled time. Time lost at the beginning of a fitness class due to a customer’s tardiness cannot be made up at the end of the fitness class as that could potentially impact on other commitments that your instructor may have. a. All cancellations must be made with a minimum of 24 hours advance notice in order to receive a credit for the missed fitness class. b. Due to an inability to fill your space on a certain fitness class, cancellations with less than 24 hours advanced notice given will not qualify for a credit and I understand that I will be charged for the session. Cancellations must be made by calling/texting your individual trainer to be deemed effective.5. The PT Factory LTD respects your privacy. Due to the nature of our services, it is necessary to collect certain personal information from you. All information collected is treated as STRICTLY CONFIDENTIAL, and The PT Factory LTD will not share or redistribute your information with any third party except as necessary to provide services purchased by yourself or as required by law. Any information gathered from you is simply for our records and, if applicable, necessary to provide the services to the you for which we have been contracted.6 I understand that rates for The PT Factory LTD are subject to change. Services prepaid for by myself which are unused at the time of any rate change, will be honored at the price already paid. 7. I understand that if the terms and conditions change, then these will be shared in advance with me requesting a signed understanding of any changes.Signature*Confirm Name* I confirm I am have read and provided the correct information* Confirmed NameThis field is for validation purposes and should be left unchanged.