A. If you are a new client firstly, please fill out our health questionnaire below. If you are an existing client, please proceed straight section B. below:

Name*
First Last
Let me know your MAIN reasons for joining? Can select more than 1
- Weight loss / fat loss
- Improve Fitness
- Gain self esteem / improve self esteem
- Support emotional health (anxiety, depression)
- Gain more energy
- Tone up / get stronger
- General wellbeing / fitness
- Have fun & meet new people
Do you have any previous, or existing injuries, joint complaints, or medical conditions including anxiety, depression (this information allows us to support you best!)
Please mention below:
Share with us more of your goals, concerns, questions and how we can help you:
Membership Terms & Conditions
All memberships are an ongoing recurring weekly (direct debit) or upfront term payment. Memberships are a 10 week/ term commitment and can only be changed / cancelled after the 10 week term is complete.
Signature & Date Please:
Comments
This field is for validation purposes and should be left unchanged.

B. Secondly, lets set up your payment details:

Name: Seniors Pass - DD
SKU: 214329
Price: 15.00 AUD
Availability: OutOfStock

$15.00 / week for 12 weeks

Access to the weekly seniors class on Friday’s.

(First payment will be taken on the 18th of January)

Out of stock