PHOENIX COMBAT SPORTS, MARTIAL ARTS AND FITNESS


Free trial offer



FREE TRIAL FORM

(PARENT/GUARDIAN TO COMPLETE FOR MEMBERS UNDER 18 YEARS OF AGE)
FREE TRIAL IS ONLY VALID ONCE PER LIFETIME. PARTICIPANT MUST BE OVER 16 YEARS OF AGE TO CLAIM A FREE TRIAL.



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Please Select Your Classes


Are you 18 or over ?

 YES NO

Please get your parents/guardian signature at the gym for competition of membership packages

Welcome to Phoenix - You have selected classes.



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Emergency :

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ACTIVITY SAFETY QUESTIONNAIRE

For your safety, please answer the following questions: Have you ever had or do you have:


1 High blood pressure or high cholesterol? Yes NO 
2 A heart condition/stroke/chest pain? A family history of heart disease, stroke or raised cholesterol? Yes NO 
3 Stomach ulcer/gout/liver or kidney condition/hernia Yes NO 
4 Epilepsy/diabetes/rheumatic fever? Yes NO 
5 Breathing difficulties or asthma? Yes NO 
6 Arthritis/back pain/muscular pain or cramps? Yes NO 
7 Any major injuries? Yes NO 
8 Are you on prescribed medication? Yes NO 
9 Have you been in hospital recently? Yes NO 
10 Do you have or have you had any infectious diseases or infections? Yes NO 
11 Have you sought medical advice before commencing at Phoenix Combat Sports? Yes NO 
12 Do you suffer from Anaphylaxia? Yes NO 
If you answered yes to the above, you must have your epipen or allerject with you at the gym.
If you answered YES to any of the questions above, please advise the instructor and explain:

 I understand and agree that I am responsible for my own medical, legal and insurance advice and any other advice that may inform my participation in this activity.
 I understand that I am required to abide by all Phoenix Combat Sports rules and regulations and the code of conduct applies to me. I also understand I am required to abide by all signs posted in the gym and instructions from the coaches and staff.
 I understand that all classes start on time and that I will arrive early for class to be ready on time. I understand that if I miss the warm up of the class, I will not able to train in that class.
 I understand it is my responsibility to ascertain if I am of good enough health and fitness to attend the gym.
RISK WARNING ACKNOWLEDGEMENT AND ASSUMPTION OF RISK RELEASE AND INDEMNITY

Warning: This is an important document which affects your legal rights and obligations. Read it carefully and do not sign it unless you are satisfied that you understand it. If you have any questions please ask a staff member.

WARNING AND ACKNOWLEDGEMENT OF RISKS, INJURY AND OBLIGATIONS

I acknowledge that the activity I am to undertake is a potentially dangerous recreational activity that may involve a significant risk of physical harm (the “activity”) and that by participating in it I am exposed to certain risks. I further acknowledge that I am not required to engage in the activity.

RELEASE OF INDEMNITY

In consideration of my payment or participating in the activity (and except to the extent that the same may be precluded by statute), I agree to release and indemnify the Phoenix Combat Sports as follows:

    1. I participate in the activity at my own risk and responsibility. I assume the risk and responsibility for any injury, death or property damage resulting from my participation in the activity.

    2. I release, indemnify and hold harmless Phoenix Combat Sports, 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 or in respect of or arising out of any injury, loss, damage or death caused to me or my property whether by negligence, breach of contract or in any way whatsoever or any liability that results from the breach of an express or implied warranty that the recreational services or activity will be rendered with reasonable care or skill.

    3. In the event that I am injured, or my property is damaged, I will bring no claim, legal or otherwise, against Phoenix Combat Sports in respect of that injury or damage.

Before signing this document I have read and understood it and know that it affects my legal rights.

WHERE PARTICIPANT IS UNDER 18 YEARS OF AGE

I, (full name), (relationship to person named) of the participant, (full name of participant),

hereby acknowledge and agree that:

  • I have read the whole of this document and understand it.
  • I consent to the person named in this acknowledgement and release participating in the activity and
  • I am aware of the risks, dangers and obligations set out above in this acknowledgement and release.

In consideration of the person named in this Acknowledgement and Release being accepted to participate in the activity, I agree to release and indemnify Phoenix Combat Sports in the same manner and to the same effect and extent as if I were the person first named in this Acknowledgement and Release and the person participating in the activity.


 I agree to all the terms and conditions