#GFF FREE Fit Club Participant Registration Form
Please complete this section below to request registration for participation in our FREE fit club that takes place every Sunday 8AM sharp at Sir Drummond Chaplin Park, between Jamestown and Lismore in Crosby (JHB)
Email CrosbyGFF@gmail.com if you'd like more information
Email address *
#GFFs (Get Fit Friends)
Name & Surname *
Your answer
Gender *
Age *
Your answer
Mobile Contact Number *
This is the number that would be added onto our WhatsApp group
Captionless Image
Your answer
What are your Wellness Goals? *
Required
Are you currently on any meal replacement or nutritional supplements? *
If you are on any meal replacement or nutritional supplements please specify:
Your answer
Are you currently being coached by anyone in terms of diet, supplementation, sports, fitness or weight management? *
If you answered 'Yes' above, please specify your coach's full names and contact details
Your answer
Please tell us about any Medical Conditions you might have
Your answer
Please tell who we can contact in case of emergency, their names and contact numbers *
Your answer
Please tell us whether you would be willing to volunteer as a coaching instructor from time to time? *
Please tell us who referred you here? *
Please tell us where/how did you hear about the GFF Fit Club
Your answer
Free Text... comment, questions, suggestions etc
Enter any additional comments, requirements, or questions you may have here...
Your answer
Please provide the email address/contact number of someone that might be interested in joining our Free Fit Club (1 of 7)
Your answer
Please provide the email address/contact number of someone that might be interested in joining our Free Fit Club (2 of 7)
Your answer
Please provide the email address/contact number of someone that might be interested in joining our Free Fit Club (3 of 7)
Your answer
Please provide the email address/contact number of someone that might be interested in joining our Free Fit Club (4 of 7)
Your answer
Please provide the email address/contact number of someone that might be interested in joining our Free Fit Club (5 of 7)
Your answer
Please provide the email address/contact number of someone that might be interested in joining our Free Fit Club (6 of 7)
Your answer
Please provide the email address/contact number of someone that might be interested in joining our Free Fit Club (7 of 7)
Your answer
INDEMNITY
Please read and accept this Liability Release Waiver to register your participation in our fit club (Mandatory)
ID / Passport Number *
Your answer
I acknowledge that in participating in the Event, organized by GFF (the "Organizer"), I will be undertaking a potentially dangerous task;agree to assume all risks connected with or arising out of participating in the event waive any rights of any nature whatsoever which I may have against the organizer, and each of the agents, independent distributors, independent contractors and/or representatives of the Organizer (the "Designated Persons") in respect of my injury or death or loss or damage which I may sustain as a result of or arising out of my participation in the event notwithstanding that it may have been occasioned by any negligent act or omission, other than grossly negligent act or omission, on the part of any of the Designated Persons; I indemnify the Designated Persons against all loss (including loss of reputation or goodwill), damage, costs (including attorney and own clients costs, collection charges and costs of any appeals), interests and expenses which they may, or be likely to sustain as a result of any claim relating to: any injury; loss or damage; my death; the damage to or destruction of any property, movable or immovable, whether belonging to any of the Designated Persons or any third party, due to any omission on my part arising out of the event; or claims against any of the Designated Persons by any third party;arising out of or in connection with the event notwithstanding that such claim, injury, loss or damage or my death may have arisen as a result of any act or omission, whether negligent or otherwise, on the part of a Designated Person, in whose favor this constitutes a stipulatio alteri (stipulation for the benefit of a third party) capable of acceptance at any time; I warrant that I am 18 (eighteen) years of age or older as at the date of the event; I warrant that I do not have any pre-existing medical condition that would preclude me from participating in the Event or put me at a high risk of injury or death by doing so; I agree that the Organizer may photograph or take film, video or audio recordings of me at the event ("Footage") and may personally indemnify me and use the Footage without restriction throughout the world, free of charge, and that I waive all rights in the Footage and give all consents needed to exploit the Footage without limitation, insofar as possible; I acknowledge that this waiver and indemnity form is intended to be as board and inclusive as permitted by the Laws of South Africa and agree that if any portion of this waiver and indemnity form is deemed to be invalid, such portion shall be sever-able from this waiver and indemnity and the remainder will continue in full legal force and effect. My acceptance below signifies that I have reviewed this waiver and indemnity form, and that I understand the nature of the activities at the event. *
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