Tanlaw Mill Fitness CentreMembership Application Form Tanlaw Mill Fitness Centre About you First name * Surname * Role * Staff Student Student ID * Student membership cost 6 months - £75.00 12 months - £120.00 (Prices are exempt from VAT)Staff membership cost 6 months - £75.00 12 months - £120.00 (Prices include VAT)Gender * Male FemalePhysical Activity Readiness QuestionnaireFor most people, physical activity should not pose any problem or hazard. PAR-Q has been designed to identify the small number of adults for whom physical activity might be inappropriate or for those who should have medical advice concerning the type of activity most suitable.Has a doctor ever said you have heart trouble? * Yes No Prefer not to answerDo you frequently suffer from pains in your chest? * Yes No Prefer not to answerDo you often feel faint or have spells of dizziness? * Yes No Prefer not to answerHas a doctor ever said your blood pressure was too high? * Yes No Prefer not to answerHas a doctor ever told you that you have a bone or joint problem such as arthritis that has been aggravated by exercise or might be made worse by exercise? * Yes No Prefer not to answerIs there a good physical reason not mentioned here why you should not follow an activity programme even if you wanted to? * Yes No Prefer not to answerYou answered 'Yes' to one or more questions...If you have not recently done so, consult with your doctor before increasing your physical activity and tell your doctor which questions you answered yes to.If in any doubt, seek your doctor's advice as to your suitability for unrestricted physical activity that progresses gradually. Additional information *If you selected 'Yes' or 'Prefer not to answer' to any of the above questions please use this box to expand on your answer. Conditions of Membership1. Abide by the rules as posted in the Fitness Centre 2. Fines and penalties are imposed for breach of Fitness Centre rules. 3. Be considerate to other members at all times. This is basic gym etiquette. 4. All areas of the Fitness Centre are monitored by high definition CCTV cameras. 5. Fitness Centre Supervisors are authorized to implement the rules. 6. Use of the Fitness Centre is undertaken entirely at the members own risk and members must satisfy themselves that they have taken all reasonable precautions to prevent injury. 7. Membership fees are non-refundable and non-transferableBy ticking this box you are accepting the above cost and conditions of membership and where applicable agreeing to abide by them. * I agreeTo complete the application process please submit this form and then make your membership payment.Once you have made a payment, the Health & Fitness Coordinator will email you to arrange a time for you to attend a Fitness Centre Induction. You are required to complete the induction before using the Fitness Centre. Captcha Submit If you are human, leave this field blank.
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