Fit Mums - New Client - MV Fit | Exercise Physiology Gym, Personal Trainers and Pilates Studio in Melbourne, VIC

Contact Information
Name:*
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Date of Birth:*

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Email Address:*
Phone Number*
Address:*
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Baby's Name:*
Baby's Date of Birth:*

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Please read through our authorisation and agreement policy for all our exercise classes and sessions.
Agreement & Authorisation Policy
I have disclosed all medical information on this form. I understand that it is my responsibility to inform the instructing physiotherapist of any new injuries or changes to my medical condition prior to participating. I acknowledge that I participate at my own risk and exonerate Max NRG Personal Training Pty Ltd. trading as 'Moonee Valley Health and Fitness' and their instructors from all liability should I become injured. I acknowledge that in the classes it is my responsibility to take care of my baby.
Agreement*
- I agree to the Agreement & Authorisation Policy
Terms & Conditions
I wish to participate in the activities and programs of Max NRG Personal Training Pty Ltd ABN 48 045 374 949 trading as 'Moonee Valley Health and Fitness'.
I understand that:a) Portions of the exercise and training program may occur outdoors.b) Exercise carries some risk including, without limitation, risk to the musculoskeletal system and to the cardio respiratory system.
In consideration of Moonee Valley Health and Fitness agreeing to provide training and fitness activities and programs, I release Max NRG Personal Training Pty Ltd, its employees and representatives from any and all responsibilities or liability from injuries or damages resulting from or ancillary to my participation in any activities or my use of the equipment.
I understand and am aware that strength, flexibility and aerobic exercise, including the use of equipment is a potentially hazardous activity. I also understand that fitness activities involve a risk of injury or death, and that I am voluntarily participating in these activities and using equipment with knowledge of the dangers involved. I agree to expressly assume and accept any and all risk of injury or death.
I agree that I have no undisclosed injury or illness that may affect my ability to undertake rigorous exercise and to the best of my knowledge I are ready and able to undertake this exercise program.
I also acknowledge that it has been recommended that I have a yearly or more frequent physical examination and consultation with my physician as to physical activity exercise and use of exercise and training equipment, so that I might have his/her recommendations concerning these fitness activities and equipment use.
I acknowledge that I have either had a physical examination and been given my GP's permission to participate, or that I have decided to participate in the activity and use of the equipment without the approval of my GP and assume all responsibility for my participation in activities, and utilisation of equipment in my activities.
Finally, I acknowledge and agree that no warranties or representatives have been made to me by any representative of Moonee Valley Health and Fitness regarding the results I will or may achieve from any program conducted at Moonee Valley Health and Fitness. I understand that results are individual and may vary.
Agreement*
- I agree to the terms

Fit Mums – New Client

Step 1 of 5 - Contact Information

Contact Information

General Medical Questions

Pregnancy, Birth & Beyond

Exercise History & Current Injuries

Agreement & Authorisation Policy

Terms & Conditions

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