Youth Fit Program - Pre-Exercise Screening and Terms & Conditions

Main Opening Hours Table
Monday	5:30am-8:00pm
Tuesday	5:30am-8:00pm
Wednesday	5:30am-8:00pm
Thursday	5:30am-8:00pm
Friday	5:30am-8:00pm
Saturday	7.45am – 11.00am
Sunday	Closed

Before participating, all Youth Active members must complete a Pre-Exercise Screening Form with a parent or guardian. This form helps us ensure safety by identifying any potential medical conditions or risk factors that may affect participation in physical activity.

Young Person's Details*This field is required.

* Required Field.

Date of Birth*This field is required.

* Required Field.

Parent/Guardian Details*This field is required.

* Required Field.

* Required Field.* Please input mobile phone number

Street Address:*

* Required Field

City:*

* Required Field

State:*

* Required Field

Post Code:*

* Required Field

Country:*

* Required Field

* Required Field.* Pleas enter valid email address

Emergency Contact Details*This field is required.

* Required Field.

* Required Field.* Please enter valid mobile phone number

Does your child have, or previously had:
A heart condition?*This field is required.

YesDon't KnowNo

A close relative who has died suddenly from a heart condition before the age of 50?*This field is required.

YesDon't KnowNo

Uncontrolled epilepsy or seizures/convulsions?*This field is required.

YesDon't KnowNo

Fainting or dizzy spells with physical activity/exercise?*This field is required.

YesDon't KnowNo

Diabetes?*This field is required.

YesDon't KnowNo

An asthma attack requiring immediate medical attention at any time over the last 12 months?*This field is required.

YesDon't KnowNo

Anaphylactic reactions?*This field is required.

YesDon't KnowNo

Surgery in the last month?*This field is required.

YesDon't KnowNo

Any other conditions that may require special consideration for your child to exercise?*This field is required.

YesDon't KnowNo

Does your child take any regular medications or supplements?

YesNo

Does your child have any current health or medical management plans where they are required to carry relevant medication?*This field is required.

YesNo

* Required Field.

INFORMED CONSENT - to be completed by parent / guardian
I hereby acknowledge that:
The information provided above regarding my child’s health is, to the best of my knowledge, correct.*This field is required.

YesNo

* Required Field.

I will inform you immediately if there are any changes to the information provided above including changes to the health of my child*This field is required.

YesNo

* Required Field.

I give permission for my child to commence a physical activity program at Eaton Recreation Centre.*This field is required.

YesNo

* Required Field.

I understand that my child participates in the fitness centre activities at his/her own risk and will 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.*This field is required.

YesNo

* Required Field.

I understand that photos and/or videos will be taken from time to time for promotional purposes. I give Eaton Recreation Centre permission to use these images or videos.*This field is required.

YesNo

* Required Field.

Terms and Conditions of Enrolment

GENERAL
Please ensure your child arrives on time and waits in the foyer for the Fitness Coach. This allows sessions to begin promptly and ensures maximum teaching time for all. Fitness Coaches are not responsible for locating participants who are late or not in the designated area.
A completed Pre-Exercise Registration Form and Enrolment, signed by a parent or guardian, is required prior to participation.
Please inform the Fitness Team Leader and/or the Fitness Coach of any medical conditions that may affect your child or others during sessions. We reserve the right to request a medical clearance from a doctor before participation if deemed necessary.
No sessions will be held on public holidays. Term fees will be adjusted accordingly.
ERC accepts no responsibility for injuries sustained before the commencement of a session.
For safety and security, please notify the Fitness Coach if someone other than a parent/guardian will be collecting your child.
All participants must wear closed-in athletic shoes and use a towel when using gym equipment—this is a condition of entry.

FEES
Fees are non-transferable between families.
Fees may be transferred to a future term only upon presentation of a valid medical certificate.
Fees are to be paid at time of enrolment.

MISSED SESSIONS & CANCELLATIONS
Make-up sessions are not available for missed classes.
If your child is unable to attend a session, please contact the Centre to advise us.
Credits/refunds will not be issued for missed sessions or cancellations.

DISCLAIMER
The Shire of Dardanup will not be responsible for any injury suffered by either participant or non-participant members of the group while using facilities: whether the injury be self-inflicted, caused by another member of the group, or caused by another person not associated with the group.

The Shire of Dardanup will not be liable in any way for any loss of, or damage to the property of members of the group, whether members or non-members of the group cause the loss or damage.

The above does not apply to the extent that any injury, loss or damage is caused or contributed to by the wilful negligent or other unlawful act of omission of the Shire of Dardanup or any of its employees, officers, agents or contractors. I have read and agree to all the above:*This field is required.

* Required Field.

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