Online Form - Teenfit Registration

The purpose of this form is to provide your trainers with information regarding your health and fitness in order for them to safely monitor and modify your program. If you answer yes to any of the questions, your trainer will discuss in more detail with you at your first session.

CONTACT DETAILS

Gender*

SESSION DETAILS

Which session/s is the participant interested in attending?
Payment options:

GENERAL HEALTH CHECK

Does the participant have any asthma/respiratory issues?*
Does the participant have any joint/ligament or bone issues (including arthritis and/or sprains)?*
Does the participant have any muscle or tendon issues (including strains)?*
Does the participant have epilepsy?*
Has the participant recently had surgery*
Does the participant have any allergies?*
Does the participant have any other conditions?*

PARENTAL CONSENT

The information provided above regarding my child’s health is, to the best of my knowledge, correct?*
I agree to inform you immediately if there are any changes to the information provided above including changes to the health of my child*
I understand that my child participates in the fitness centre activities at his/her own risk and should not hold the Eaton Recreation Centre or any of its staff responsible for any injury or harm that may occur during activities within these premises.*
I give permission for my child to be photographed by ERC staff. I understand the photo/s may be used for promotional purposes (including online and social media) and on marketing material that may be distributed to the general public.*
How did you hear about our #teenfit program?