What is your level of fitness experience? What is your level of fitness experience? I have never participated in High Intensity workouts before I have previously trained at a high level of fitness eg Functional Fitness, ZUU, Crossfit/12 months + experience

I am wishing to purchase a: I am wishing to purchase a:Beginners Fundamentals Group Course $60Private Beginners Fundamentals Course $120Gold Membership (From $40)Silver Membership (From $35)Bronze membership ($99 a month)Drop In

First Name

Last Name

Physical Address

Contact Number (###-###-####)

D.O.B (DD/MM/YYYY)

Email

How did you find out about Us?

SECTION TWO - Emergency Contact

First Name

Last Name

Contact Number

Relationship

SECTION THREE - Health Assessment

Do you have any or have any major injuries in the following areas? Do you have any or have any major injuries in the following areas? Knees Ankles Neck Back Shoulders Wrist

Please expand on any selected injuries

Please tick if it applies to you Please tick if it applies to you Heart DIsease or complications Allergies Asthmatic High Blood Pressure Diabetes

Please expand on any of the selected above

SECTION FOUR - Training Waiver

Please select that you understand and agree to the following: Please select that you understand and agree to the following: I have joined Nefarious Collective Limited, and understand this involves physically challenging activities, including but not limited to, weight training, cardio vascular exercise, stretching, physical conditioning and will inform trainers, staff of Nefarious Collective Limited or any injury/disability that would prevent or limit my participation in this exercise program. In consideration of my participation at Nefarious Collective Limited under the program designed by/ or run by Nefarious Collective Limited Trainers or staff, I for myself, my heirs and assigns, hereby release Nefarious Collective Limited from any claims, demands, and causes of action arising from my participation in this exercise program.

SECTION FIVE - Potential Risks

Please select that you understand and agree to the following: Please select that you understand and agree to the following: There exists a possibility that certain physiological changes may occur during or following exercise which can not always be predicted. These abnormal reactions include: Blood pressure, Heart Rate, Ineffective functioning of the heart, In rare circumstances – heart attack or stroke. That I may injure myself as a result of participating in physical activity at Nefarious Collective Limited. I hereby release Nefarious Collective Limited from any liability now or in the future, including those but not limited to those conditions listed above, heart attacks, muscle strains, pulls or tears, broken bones, shin splints, knee/lower back/foot injuries, and any other illness, soreness or injury, however caused, occurring during or after my participating in physical activity at Nefarious collective Limited.

SECTION SIX - Website Consent

Please select that you understand and agree to the following: Please select that you understand and agree to the following: I give Nefarious Collective Limited and the events owned by the stated company consent to use my name and images on their websites, Facebook pages and advertising promotional material.