Under 16 Membership Form

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Member Information

Full Name of Minor:
Date of Birth:
Age:
Parent/Guardian Name:
Relationship to Minor:
Contact Number:
Email Address:

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Consent & Acknowledgment by Parent/Guardian

I understand that gym activities may involve physical exertion and risk of injury.
I confirm that my child/ward is physically fit and has no medical conditions that would prevent safe participation in gym activities.
I will inform the gym immediately if there are any changes to my child’s health status.
I agree to supervise or ensure my child follows all gym rules and guidelines.
I understand that children under 16 must be accompanied or supervised by an adult at all times within the gym premises.
I acknowledge that the gym is not liable for any injuries unless caused by negligence of the gym staff.

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**Medical Information (Optional)**

Known Medical Conditions:
Allergies:
Emergency Contact (if different from above):
Emergency Contact Number:

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Parent/Guardian Signature & Date

Full Name of Parent/Guardian (Digital Signature):

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