ACKNOWLEDGEMENT RELEASE AND ASSUMPTION

Work at an easy pace on your first visit and concentrate on learning how to do the exercise properly. On each visit, you will be able to work a little harder and with improved intensity. Be sure to limit yourself to a pace where you can still talk and breathe comfortably. Should you suffer any injury, illness or condition in the future, please tell us by completing this form again. It is recommended that all males over the age of 35 years and females over the age of 45 years should complete a medical assessment, including an exercise ECG and cholesterol/lipid count. I recognize that the instructor is not able to provide me with medical advice with regard to my medical fitness and that this information is used as a guideline to the limitations of my ability to exercise. I have answered the questions to the best of my ability and understand the advice above.
WARNING: This is an important document, which affects your legal rights and obligations. Please read it carefully and do not sign it unless you are satisfied that you understand it. If you have any questions, please ask our representative.I recognize that Fit4All is not able to provide me with medical advice with regard to my medical fitness and that this information is used as a guideline to the limitations of my ability to exercise.I have answered the questions to the best of my ability and understand the advice above. I acknowledge that the activity I am about to undertake can be dangerous and that by participating in this activity, I am exposed to certain risks. I acknowledge and understand that whilst participating in such activity;

• I may be injured physically or mentally.
• My personal property may be lost or damaged.
• I may cause injury to other persons or damage their property.
• The conditions in which the activity is conducted may vary without warning.
• I may be injured, die or suffer damage to my property as a result.
• There may be no or inadequate facilities for the treatment or transport of me if I am injured.
• I assume the risks and responsibility for any injury, death or damage of property resulting from my participation in the activity.

RELEASE, INDEMNITY AND ACCEPTANCE OF TERMS AND CONDITIONS

In consideration of the acceptance of my payment for participation in the activity (and except to the extent that the same may be precluded by statute) I agree to release and indemnify Fit 4 All as follows: I participate in the activity at my sole risk and responsibility. I release, indemnify and hold harmless Fit4All, its servants and agents, from and against all and any actions or claims which may be made by me or on my behalf or by other parties for in respect of or arising out of injury, loss, damage or death caused by me or my property whether by negligence, breach or contract or in any way whatsoever. I also agree that in the event that I am injured or my property damaged, I will bring no claim, legal or otherwise, against Fit4All in respect of the injury or damage. Before signing this document, I have read and understood it and know that it affects my legal rights, I certify that the above information is true and correct. I have read and understood the TERMS AND CONDITIONS (attached) of Fit4 All PTY LTD which form part of and are intended to be read in conjunction with this membership agreement and agree to be bound by these conditions. I authorize the use of my personal information as detailed in the Privacy Act clause therein.