Name

Date Of Birth

Address

City

Post Code

Phone Number

E-mail Address

Emergency Contact - Name

Emergency Contact Phone Number

How did you hear about us?

Do you have any injuries or take any medications that we should know about?

I agree to the following:

Awareness

I desire to engage voluntarily in Fitter Than Fit Muay Thai Bootcamp in order to improve my physical fitness. I understand that the purpose of the camp is to improve, develop and maintain cardiorespiratory fitness, muscular strength, endurance and learn Muay Thai skills. I understand that I am responsible for monitoring my own condition throughout the exercise program and should any unusual symptoms occur, I will cease my participation and inform the instructor of the symptoms. In signing this consent form, I will affirm that I have read this form in its entirety and that I understand that the nature of the exercise program. I also affirm that my questions regarding the camp have been answered to my satisfaction. Also in consideration for being allowed to participate in the program, I agree to assume the risk of such exercise, and further agree to hold harmless Fitter Than Fit Ltd or their employees from any and all claims suits, losses or related causes of action for damages, including but not limited to, such claims that may result from my injury or death, accidental or otherwise, during or arising in any way from the exercise program.

I am not aware of any medical condition that would preclude me for participating in any activity within these premises. If I have any concerns regarding health issues, I will ensure that the gym and trainers will be made aware of these concerns prior to participation.

I have the right to withdraw or refuse participation from any activity at any time as do the gym and its trainers reserve the right to limit or refuse the participation of any student or any activity as they deem warranted.

Release and Waiver

I hereby acknowledge to have read and fully understand the contents of this agreement and recognise that by signing this document I waive certain legal rights, including the right to sue for whatever reason and that I am signing this document at my own free will.

Participant Signature (please put your full name here. This will act as an electronic signature).

Date of Electronic Signature

Name of legal guardian if participant is less than 18 years old:

Signature of legal guardian: (the guardian needs to type his or her full name here. This will act as an electronic signature).

Guardian Date of Electronic Signature

Guardian Contact Phone Number