Keep Fit Adelaide

Membership Agreement & Health Questionnaire

Business Information

Business Name: Keep Fit Adelaide

Owner: Nicholas James Fanning

ABN: 91 522 755 053

Address: Portion of Unit 9, 47 OG Road, Klemzig SA 5087

Membership Options

Choose between:

  • Monthly Membership: Month-to-month agreement with monthly billing
  • Annual Membership: Fixed 1-year agreement with upfront payment
Personal Details
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Please enter your street address
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Background Information
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Please describe your goals
Membership & Fees
Please select a membership type
Please select a session frequency
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Medical History

Please check any conditions that apply to you:

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Emergency Contact Details
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Terms & Conditions

Cooling Off and Termination

  • Annual: You may cool off this Membership Agreement and terminate it without penalty by letting us know in writing within 7 days after signing.
  • You may suspend this Membership Agreement while you suffer a temporary sickness or physical incapacity by letting us know in advance in writing.
  • You may terminate the Membership Agreement if you suffer a permanent sickness or physical incapacity by letting us know in advance in writing.
  • We may terminate this Membership Agreement if you fail to pay your fees or if you breach your obligations.
  • For a Monthly membership: You may terminate by giving at least 2 weeks' notice in advance in writing.

Release of Liability, Waiver of Claims, Assumption of Risk & Indemnity Agreement

Please read carefully and initial where indicated:

  • Participating in a health and fitness program is an inherently risky activity – there is a risk you may be injured, exacerbate an existing ailment or condition or accelerate the onset of an illness. You acknowledge that you are aware of this risk. INITIAL:
  • Any health and fitness program recommended to you by us does not consider your medical and physical fitness. You should seek advice from a medical professional to ensure that the program is suitable for you.
  • I agree that my membership at Keepfit Adelaide is a month by month agreement that will be debited monthly from my nominated bank account/debit/credit card.
  • I agree to pay a month upfront and only after that if I wish to cancel or suspend that I must give 15 days' notice from my next billing date.
  • I agree if I do not fill in and sign a cancellation/suspension form at Keepfit Adelaide, that I am giving Keepfit Adelaide consent to continue my membership on a month by month basis debited monthly. INITIAL:
  • I agree that if I have decided to pay up front that it is not refundable.
  • I agree that if I cancel my membership at any time, that a $50 administration fee will be charged upon re-activating my membership.
  • I agree that my current health situation is not the responsibility of Keepfit Adelaide and I will not hold them accountable if I fall ill, injured or my health suffers at any stage during my membership.
  • Prices are subject to change, given 30 days written notice to my nominated mailing address.
  • I agree that the monthly rate I am charged will increase on the 1st July each year based on CPI increase. INITIAL:
  • I understand that my account will be handed over to a nominated debt collector if I fail to fulfil any of the above payment obligations which I have agreed to.
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Privacy Notice: Your information is privacy protected; we will not sell your information. I agree that any information emailed, handed, delivered or sent to me in any form will not be given to anyone other than me. I agree that I will be held solely responsible if material is passed onto anyone or any other organization.

You must agree to the terms and conditions
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Agree to the above terms and conditions and will honour my commitment to Keepfit Adelaide.

Signature
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