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Fill me in for your monthly membership deal
nb: a thank you message will appear when successfully completed.
your membership will be registerED upon payment

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Name *

First

Last

Date of birth *

Gender *

Male Female

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone *

Email *

Next or Kin *

First

Last

In the case of participants aged 17 years and under please name your guardian and have them supervise this form.

Next of kin emergency contact phone *

Have you ever had any of the following conditions (please check any boxes that apply to your past or present health): *

Arthritis, rheumatism or chronic joint condition Asthma (participants MUST has a current treatment plan and are responsible for administering medication as required when attending sessions) Back pain requiring a treatment plan (participants MUST obtain a medical clearance prior to attendance) Chest pain, angina or heart pulpatations (participants MUST obtain a medical clearance prior to attendance) Diabetes (participants MUST has a current treatment plan and are responsible for administering medication as required when attending sessions) Epilepsy (training has been known to trigger episodes, PLEASE ADVISE EVERY INSTRUCTOR OF YOUR CONDITION) Hernia High cholesterol and/ or blood pressure Mental health conditions Stroke or heart disease (participants MUST obtain a medical clearance prior to attendance) Hypertension (participants MUST obtain a medical clearance prior ro attendance) Pregnancy - current (if participant has never undertaken maximal interval training regularly prior to attendance medical clearance MUST be obtained)

CAUTION: Sweat Depot training sessions are vigorous and intense. Our instructors are not able to provide medical advice under any circumstances and it is the participants responsibility to seek medical opinion and clearance as to your ability to undertake such exercise.

If you suffer from any medical condition or require any medications please provide details: *

If you require medical clearance for any medical condition, please upload a copy of that clearance. *

Max file size: 20MB

It is the participant's responsiblity to obtain medical clearance for any health or mental condition that may be affected by excercise. If no clearance is provided it will be assumed that you suffer from no medical conditions and accept full responsiblity for your medical fitness.

The team at Sweat Depot are passionate about health, safety and pursuit of your personal best. That is why it is a condition of entry to Sweat Depot that you acknowledge and agree that: *

You have read this health questionaire and understand fully that you are solely responsible for your physical and emotional well being whilst participating in Sweat Depot sessions. By checking this box you agree not to bring any claim against Sweat Depot, its employees or agents in the event that you suffer any personal injury or suffer any property damage or loss whilst at Sweat Depot.

Date questionnaire completed *

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All rights reserved ELC Lifestyles Pty Ltd 2006 - 2021.
All program material and photos remain the property of ELC Lifestyles Pty Ltd.

Brisbane, Queensland 4051.

Fill me in for your monthly membership dealnb: a thank you message will appear when successfully completed.your membership will be registerED upon payment

Fill me in for your monthly membership deal
nb: a thank you message will appear when successfully completed.
your membership will be registerED upon payment