Sign In
My Account
Gym Training
Group Training
Personal Training
Membership
Wellness Services
About Us
Connect
Sign In
My Account
Gym Training
Group Training
Personal Training
Fir For The Human Race
Membership
Wellness Services
About Us
Connect
Bondi Gym Insurance Declaration
Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Mobile Phone Number
*
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Mobile
*
Checkbox
*
Before participating in Bondi Gym activities, you will be required to sign this form. By my signature to this document I, the undersigned, hereinafter referred to as (‘I’, ‘Me’, ‘My’, ‘Myself,’), and Bondi Gym Pty Ltd (ABN 74 787 641 550)(‘Bondi Gym’), acknowledge, confirm and agree that: I hereby understand and acknowledge that the training, programs and events held by Bondi Gym may expose me to many inherent risks, including accidents, injury, illness, or even death. I assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, and all other such risks being known and appreciated by me. I hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and the Bondi Gym furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE Bondi Gym, its officers, agents, employees, organisers, representatives, and successors from any responsibility, liabilities, demands, or claims of any kind arising out of my participation in Bondi Gym training, programs and/or events. By my signature I indicate that I have read and understand this Waiver of Liability. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms. Photographic Release I understand that My involvement in any Bondi Gym Activities may be photographed or videotaped. I hereby consent to the use of these photographs and/or videos without compensation, by Bondi Gym on their website, any & all forms of social media or in any editorial, promotional, marketing or advertising material.
By ticking this box I agree with the above statement.
Name
*
Thanks for submitting your Insurance Declaration!