If you are under 18yrs of age, please come down to sign up in person and bring a parent to co-sign your membership. Personal DetailsName(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Email(Required) QuestionnaireDo you currently participate in any regular exercise?(Required) Yes NoWhen was the last time you did exercise?(Required)Do you smoke?(Required) Yes NoDo you have a family history of heart disease?(Required) Yes NoPlease provide details(Required)Have you exercised in a gym before?(Required) Yes NoWhat do you want to achieve with your exercise?(Required) Weight loss Tone Fitness StrengthDo you currently take any form of medication?(Required) Yes NoPlease provide details(Required)If you answer “yes” to any of the following question, or are pregnant, you will need to gain clearance from your GP with a certificate.Do you suffer from any of the following? Heart problems (angina, heart disease)?(Required) Yes NoPlease specify(Required)Diabetes or high blood pressure?(Required) Yes NoPlease specify(Required)Back pain, joint mobility or arthritis?(Required) Yes NoPlease specify(Required)Breathing problems (asthma)?(Required) Yes NoPlease specify(Required)Dizziness or epilepsy?(Required) Yes NoPlease specify(Required)Emergency phone number(Required)Emergency Contact Person(Required)Acknowledgement of InformationAcknowledgment of client (signature to be collected in person)(Required)I acknowledge that this information is true and correct. I also understand that this information will be used as a guide only for personal trainer to assess my current health status, any assessment does not replace advice, recommendation or practice of a GP. I acknowledge that it is my sole responsibility to ensure I am capable of completing any prescribe exercise without harm. The information collected here is accurate to the best of my knowledgeName of Applicant(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Select todays date(Required) DD slash MM slash YYYY Terms and ConditionsBy selecting you acknowledge you have read and agreed to the Terms and Conditions(Required)TERMS & CONDITIONS MEMBERSHIP TERMS AND CONDITIONS These Terms govern the access or use by you of Z 24HourFitness facilities, equipment and other related services. Before accessing or using our services please read and understand the following Terms. 1. MEMBERSHIPS (a) To inform Z 24Hourfitness of any change of personal details, including : postal address, contact phone number, email address and any relevant information regarding your membership (b) Confirm all personal health and fitness information prior to start of your membership (c) Not to use Z 24hourfitness facilities if you are suffering from any infections, contagious illness, disease or physical condition such as open cuts, sores or infections that could cause harm to other members or staff. (d) Agree with unattended and club rules at all times. (e) To always use a towel on all Z 24Hourfitness equipment and to wipe down all machines with cleaning spray after use (f) To always wear covered shoes but not gumboots, work boots or slippers. (g) MINIMUM TERM means contract for a specified time. After the minimum term date has passed cancellation is free or the membership continues until 10 days notice is given. (h) If I for get to cancel after my minimum term has passed no refund is due. (i) Memberships maybe transferred to a new member for a fee set out by Z 24Hourfitness. (j) Month to Month memberships are paid weekly until the last day of the month. Notice must be given before a new month starts or I agree and acknowledge to pay until the end of the month. 2. MINOR CONSENT (UNDER AGE) (a) If under the age of 18 your parent or guardian must be present at the signing of your membership agreement and co sign the document. And also agree to these Terms & Conditions. (b) Minor consent must be filled out prior to start of your membership. 3. DIRECT DEBIT / PAYMENT OF FEES / MEMBERSHIP (a) You agree that Debitsuccess will debit your nominated account weekly or fortnightly the amount attached to your membership. Any missed payments that may attract a failure fee will be charged to your account. If your accounts becomes greater than 21 over due Debitsuccess will use a collection service to recover outstanding amounts. 4. JOINING FEE (a) You must pay join fee prior to start of your membership unless Z 24HourFitness advises different 5. PAY IN ADVANCE MEMBERSHIP (a) Pay in advance memberships are non refundable. Non use of gym does not mean refund. 6. FEES INCREASE 1. Z 24HourFitness reserves the right to increase membership fees charged. Z 24Hourfitness reserves the right increases membership fees within a minimum term agreement with 30 days notice of intention. You authorise Debitsuccess to increase any direct debit to your account. 7. DAMAGE / ACCESS CARD /ACCESS BY NON MEMBERS (a) If you cause damage that is seen as deliberate or negligent or direct breach of these terms you will be liable for the repair costs, replacement costs and will be debited from your nominated account via direct debit. Your membership could be terminated. (b) Access cards are per membership and must be scanned before entry into Z 24HourFitness facilities. (c) If you allow access to a non member this can be seen a breach of these terms and Z 24HourFitness has the right to terminate your membership and recover all fees owing. (d) New cards can be brought if lost or stolen please advise Z 24hourFitness staff. 8. CANCELLATION OF MEMBERSHIP (a) You can request to cancel your minimum term with 10 days notice. (b) Any cancellation of your agreement within the minimum term you will be charged $150 and can be collected via direct debit with your nominated account. All over fees will need to be paid before cancellation of your membership. 9. Z 24HOURFITNESS RIGHTS TO CANCEL (a) Z 24HourFitness has the right to terminate any agreement with out delay if a breach of these terms has been made. • Fails to pay membership fees when due • Failing to follow club rules • Intentional damage • Allow access to non members • Deemed serious misconduct. • Open door after hours. 10. IMDEMNITY (a) I acknowledge that the use of Z 24HourFitness during staffed and after hours may pose a risk of injury or harm. I confirm that while in the facility I will use the equipment and services at my own risk and that I release and indemnify Z 24HourFitness its staff, servants and agents against any and all claims relating to any injury, loss or serious harm caused to me or my property. 11. PERSONAL PROPERTY (a) I acknowledge that while in the facility I am responsible for my own belongings. Z 24HourFitness is only responsible for the minimum requirements by law. 12. SECURITY (a) I acknowledge that for security and accept for safety Z 24HourFitness can use security video surveillance systems to monitor the facility 24 hours a day. Video systems a limited to gym floor only. (b) No doors will be opened after staffed hours. This could result in deletion of your membership. 13. BUSINESS INTERRUPTION OR RELOCATION (a) From time to time Z 24HourFitness me need to preform maintenance, repair or relocation. We may need to restrict access to all members for no more than 10 hours in one 24hour period with 5 working days notice. In the event of urgent matters management will give notice. 14. CONTRACT TRAINERS (a) Z 24HourFitness may use contract trainers to carry out personal training whilst in the facility. Z24HourFitness takes no responsibility for the services and advice provided. I agree to not hold Z 24hourFitness liable and agree to indemnify Z 24HourFitness for any claims suffered by you as a result of negligence by a contractor. 15. TERMS CAN CHANGE (a) Z 24HourFitness reserves the right to amend change these terms and conditions at any time with reasonable notice. Z 24HourFitness may require you to follow additional new rules during the course of your membership. 16. PRIVACY POLICY (a) Z 24HourFitness’s collection and use of personal information will be secured and private. I acknowledge that Z 24HourFitness may provide debitsuccess, insurer with any necessary information when required. 17. MEMBERSHIP HOLDS (a) Can be put on hold for a minimum of 4 weeks to a maximum of 12 weeks. 7 days notice is to be given prior to a membership hold. I agree to the terms and conditionsClick submit to continue.CAPTCHA This site is protected by reCAPTCHA. The Google Privacy Policy and Terms of Service apply.
