Sweat-Box Studio Application Form

Sweat-Box PT Studio

Membership Application Form

Please complete all fields below as accurately and honestly as possible

Name*
First Last

Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Date of Birth*
Date Format: DD slash MM slash YYYY

Next of Kin Name*

Next of Kin Contact Number*

Doctor Name*

Doctor Surgery / Contact*

Do you suffer / Have you suffered from any of the following?
Rheumatoid or Osteo Arthritis
Head / Neck Injury
Shoulder/Arm/Wrist/Hand Injury
Back Pain / Injury
Hip / Pelvis Injury

Do you suffer / Have you suffered from any of the following?
Knee / Thigh / Leg Injury
Ankle / Foot Injury
Nerve Damage
Swollen Joints
Fractured Bones

Do you suffer / Have you suffered from any of the following?
Heart Problems
Diabetes
Epilepsy
Early menopause
Cancer

If You answered yes above, please provide details

Are you currently recieving treatment for anything?
Yes
No

Have you had major surgery in the last 10 years?
Yes
No

Have you had minor surgery in the last 2 years?
Yes
No

If you answered yes to the above, please provide details

Do you suffer / have you suffered OR have you ever had a medical consultation for any of the following conditions?

If You answered yes above, please provide details

Any other health issues not already mentioned, please list here:

Are you pregnant?
Yes
No

Membership Options

There are a few membership options. Individual, Couple and both of those with PT included.

Individual is pretty much what you'd expect. You pay for access for 1 person to train. Couple is for 2 people to train and if you opt for an Individual PT membership this is for 1 person to train whenever they want but with a PT session (or 4) included to boost productivity and chances of reaching goals. Same for the couples. Not rocket science 🙂

Which membership type are you applying for?*
Individual
Individual with PT - Monthly
Individual with PT - Weekly
Couple
Couple with PT - Weekly
Couple with PT - Monthly

Have you ever been diagnosed with a learning disability / have any problems learning in school / require any special provision for assessments because of learning issues?*
Yes
No

I understand that certain elements of the Session/Course can be physically demanding. I accept full & complete responsibility for my participation in the practical elements of this session/course*
Yes

I agree that Marc Edwards Fitness & Representatives' are free of any/all liability for death, injury or health problem that may result from/be aggravated by my participation*
Yes

I agree that Marc Edwards Fitness & Representatives' are free of any/all liability for death, injury or health problem that may result from/be aggravated by this training with 3rd parties*
Yes

I understand that by signing this / completing this form that any use of excersises post course/workshop/session, I assume all responsibility for demonstrations and the safety of the end user, even if the end user is myself*
Yes

Marc Edwards Fitness and Representatives means anybody delivering a training session / Course / Workshop in association with / on behalf of Marc Edwards or Associated Training Provider (REPs Accredited or not) and any Training Session/Course/Class/Workshops including (but not limited to) any of the following names:

Marc Edwards Fitness / K5 Health and Fitness / Universal Training / Universal Fitness Training / Universal Martial Arts Training / Universal Personal Training / K500 Kickboxing

I agree to adhere to the terms and conditions, rules and regulations set forth by Marc Edwards (full T&Cs in the link below) which are clearly displayed in the Studio. I also understand that I will be solely responsible for my own welfare whilst using the studio and subsequently, the safety and welfare of anybody accompanying me whilst I use the facilities.

Terms and Conditions

Full Terms and Conditions can be downloaded by clicking HERE but in a nutshell;

Respect the box and the box will respect you

Book your time slots at least a week in advance

Leave the place as you find it

Report any defects ASAP

Remove outdoor footwear before you enter

Train only with the programme you're given by your trainer

Don't be a dumbass and get stuck under some weights you're not strong enough to lift

You break it, you buy it

Use it or lose it.... basically NO REFUNDS

Don't steal anything, I know where you live

Ask questions if you're unsure of anything

Enjoy the place. It's the only 24/7 private studio around!

Name
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