11 - 13 Club Gym Joining Online Form

Step 1 of 2

11-13 Club Member

This form is to be filled out on site. Please each fill out our PARQ form prior to filling out this form

Name(Required)

First Last

Address

Street Address Address Line 2 Town County Postcode

Date of Birth(Required)

Phone(Required)

Email Address

Have you filled out our Fitness Health PARQ/T&C form?(Required)

Yes

Please note that by ticking this box you are confirming that you have consent from your GP to use our gym, and agreeing to our T&Cs

Legal guardian and supervising adult

11-13 year olds can use the gym as PAYG or monthly paying members, they will need to always be accompanied by a legal guardian, who can also be a PAYG or monthly/annual member. The legal guardian will be able to attend without the 11-13 year old but they will not be able to attend without the assigned guardian. The legal guardian must attend all inductions and all gym sessions thereafter together and complete work outs together (Ie the guardian is closely supervising the 11-13 year old, rather than having separate workouts). 11-13 Year olds must not use barbells or heavy weights. Appropriate weights will be discussed in your inductions and a Hampton Pool fitness instructor must be present if the 11-13 year old would like to progress the weights used, after the induction.

Name(Required)

First Last

Address

Street Address Address Line 2 Town County Postcode

Have you filled out our Fitness Health PARQ/T&C form?(Required)

Yes

Please note that by ticking this box you are confirming that you have consent from your GP to use our gym, and agreeing to our T&Cs

Date of Birth(Required)

Phone

Which payment method is the 11-13 Club member going to use(Required)

PAYG

Monthly (No Join Fee)

Annual (No Join Fee)

Please note, for Gym PAYG memberships a joining fee is required

Which payment method are you, the Legal guardian signing up for?(Required)

PAYG

Monthly (No Join Fee)

Annual (No Join Fee)

Please note when joining as a PAYG guardian of an 11-13, together you would pay only 1 x £30 membership joining fee, as opposed to paying a joining fee each, if the legal guardian is already a member, then there is no extra joining fee for the 11-13 member to pay.

Second Emergency contact name(Required)

First Last

Please note, this should be someone other than yourself, in the circumstance we are unable to get hold of you

Second Emergency contact number(Required)

Please note, this should be someone other than yourself, in the circumstance we are unable to get hold of you

Legal Guardians E-Signature(Required)

Staff members name who is assisting in the sign up

First Last

(If a fitness instructor is not available, any member of staff can assist in the sign up confirming that the legal guardian has given verbal permission for the minor to join the gym and reception can assist with booking the minor in for their first induction)

Today's Date(Required)

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11- 13 Club Gym Joining Form

11-13 Club Member

Legal guardian and supervising adult