New Waves Now We Run Application Form
All details are private, confidential and not shared to any third parties. We require your email address so that you can receive a copy of your application form.
Which session are you joining?
Mondays at 6:15pm (£99) (FULLY BOOKED)
Thursdays at 6:15pm (£99)
Both Mondays and Thursdays (£175) (FULLY BOOKED)
I am over 18
Are you currently, or have you ever been affected by any of the following:
High or low blood pressure
Elected blood cholesterol
Chest pains brought by physical exertion
Dizziness or fainting
A bone, joint or muscular problem or arthritis
Neck or back pain
Asthma or other respiratory problems
Any sustained injuries or illnesses
None of the above
If you have ticked any of the above, please give details and dates
Are you pregnant or have you given birth in the last 6 months?
Are you taking any medication? (please state the names of medication)
Are you happy to be added to the New Waves newsletter?
In submitting this form I confirm that I have read its contents in their entirety and that my answers to the health questions are true and accurate. I believe that I am able to participate safely in any exercise activity during group or personal training sessions.
Should my medical condition change after submitting this form, I will inform Louise at New Waves prior to commencing any further exercise activity. I understand that I am responsible for monitoring myself throughout any exercise activity, and should any unusual symptoms occur, I will cease participation immediately.
I understand that any type of fitness session can be a strenuous form of physical activity, and that I may be exposed to risk of injury. I am fully aware of those risks which include (without limitation) possible injuries to my muscles, bones, joints and tissue.
I also understand that there exists the possibility of adverse changes during any exercise activity undertaking during fitness sessions including (without limitation) abnormal blood pressure, injury, fainting, disorder or heart rhythm, stroke, and in rare instances, heart attack or even death.
Notwithstanding the above, I choose to participate knowingly, voluntarily, of my own accord.
I fully understand that any exercise instruction and advice given is in no way intended as a substitute for medical consultation.
In the event that medical clearance must be obtained prior to my participation in any group or personal training session, I agree to contact my GP and obtain written permission prior to the commencement of the session and any exercise activity.
All client information will be held in a private and secure computer database and/or lockable filing cabinet for a period of up to 10 years. The client’s information will not be shared to any third party unless compelled to by law.
Finally, you understand that New Waves, will at times, capture photographic and video footage during sessions which may be used for promotional material. You consent to any footage captured in sessions to be shared via social media but understand that you have the right to opt out of being included in such material and can contact Louise at New Waves to request this action.
By submitting this form I am accepting this disclaimer and hereby release and forever discharge from any claims and liabilities whatsoever without limitation that I might have against New Waves, Louise, or any of the coaches/instructors working for or in collaboration with New Waves and I make this release on behalf of myself, my heirs, executors and administrators.
Send me a copy of my responses.
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