Become A Member Contact our Team Become A Member - Waitlist "*" indicates required fields 1Personal Information2Waiver Personal informationName* First Last Email* Date of Birth* DD slash MM slash YYYY Mobile*AddressSuburb*Post Code*OccupationEmployerAre you Fitness Passport Member? Yes No Fitness Passport ID NumberPlease be aware and have consideration that our gym space is within a residential building and to not drop or bang weights on the floor at any time.Our Saunas are dry saunas and NOT to used as in conjunction with showering ie hot cold water contrast therapy. If you do want to shower before a sauna PLEASE dry off and use a clean towel also when using the sauna. WaiverPlease nominate your friend who referred you (if they are a currernt member)Have you ever been a member of a Health Club before?* Yes No Health Club (When and Where)Do you have, or have you had any of the following?Heart Disease or any cardiovascular condition* Yes No High Blood Pressure* Yes No A major illness, injury or surgery in the last 5 years* Yes No Any history of Coronary Heart Disease in your family* Yes No Diabetes* Yes No Do you smoke tobacco* Yes No Arthritis or other joint/muscular pain* Yes No Asthma or difficulty in breathing* Yes No Epilepsy* Yes No Dizziness, blackouts, or fainting spells* Yes No If yes to any above, please give detailsAny pain or major injuries, particularly in the following areasNeck* Yes No Back* Yes No Wrist* Yes No Ankles* Yes No Arms* Yes No Knees* Yes No Upper BodyLower BodyAre there any other conditions which may be the reason to modify your exercise program?Are there any medical problems that may affect your excercising (e.g. surgery, recovering from illness, pregnancy, virus etc.?)I hereby certify that I willingly participate on my own free will in exercise(s) at Higher Ground Fitness. I warrant that I am physically and mentally sound to proceed with a program of exercises. I acknowledge that at all times while on the Higher Ground Fitness premises, both my property and my person shall be at my own risk. I have read the current members procedure, the terms which I agree to observe and abide by. I agree to fulfil these financial commitments even in the event of my not attending Higher Ground Fitness or utilising it's service.Consent* I agree*Consent* I agree to Higher Ground Fitness Agreement Rules*
