Welcome to v2. Let’s go through some things.We want to make sure we’ve got the correct details for you, and to make sure you’re safe in our gyms! Name * First Name Last Name Email * Phone * Date Of Birth * MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Choose your location * Which of our locations will be your home base? St Mary's Kent Town Hindmarsh How did you hear about us? Facebook / Instagram Friend Referral Google Drove Past Medical History: Have you ever been diagnosed with any of the following conditions? (Check all that apply) Heart disease or heart-related conditions High blood pressure High cholesterol Diabetes Respiratory conditions (e.g., asthma, chronic obstructive pulmonary disease) Joint or bone conditions (e.g., arthritis) Recent surgeries or major medical procedures None of the above Are you currently taking any medications or undergoing any medical treatments? * If no, please mark 'N'. If yes, please specify: Have you ever experienced chest pain, dizziness, or shortness of breath during or after exercise? * If no, please mark 'N'. If yes, please specify: Do you have any known allergies or exercise-related allergies? * If no, please mark 'N'. If yes, please specify: Do you have any prior experience with high intensity workouts? * If no please mark 'N'. If yes, please specify: Do you currently have any health conditions or medical concerns for which a physician has advised against participating in physical activity or certain types of exercise? * Yes No If yes, please elaborate: Emergency Contact * In case of an emergency, please provide the name and contact number of your emergency contact person: First Name Last Name Phone * By signing below, I hereby affirm that the information provided in this pre-trial screening questionnaire is accurate to the best of my knowledge. I acknowledge the inherent risks associated with high-intensity exercise and agree to inform gym staff of any changes in my health status or unusual symptoms during my trial sessions or gym tour. In consideration of V2 FIT allowing me to participate, I understand and acknowledge the following: I have voluntarily chosen to engage in training activities provided by “V2 FIT” and recognize the inherent risks associated with physical training, including but not limited to abnormal blood pressure, muscle soreness, fainting, heart attack, and/or death. I understand that the training may involve weightlifting, gymnastic movements, strenuous bodyweight exercises, and other high-exertion activities, and I have the right to refuse participation in any activity at any time during my training sessions. If I experience lightheadedness, faintness, dizziness, nausea, pain, or discomfort, I will stop the activity and inform my trainer immediately. I authorize V2 FIT and the staff of the facilities I train in to seek emergency medical services for me in the event of injury or illness, understanding that I am responsible for any associated expenses. I acknowledge the importance of gradually increasing intensity in high-intensity training to prevent conditions such as rhabdomyolysis, and I agree to start at a reduced intensity. I understand the warning signs of rhabdomyolysis and will seek immediate medical assistance if I experience symptoms. I waive any and all claims against V2 FIT, its directors, shareholders, officers, employees, agents, volunteers, and independent contractors, and release them from liability for any loss, damage, injury, or expense I may suffer as a result of my participation in their programs, activities, and services. I agree to indemnify and hold harmless the aforementioned parties from any liability for damage to third-party property or personal injury resulting from my participation in any program, activity, or service provided by them. This agreement is binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, the remainder shall remain in full legal force and effect. If signing on behalf of a minor child, I grant permission for any person connected with V2 FIT to administer necessary first aid and seek medical care if required. I consent to the use of my picture(s), film, and/or likeness by V2 FIT for advertising purposes unless I inform them otherwise in writing. I acknowledge that by signing this informed consent form, I waive certain legal rights and understand the implications thereof. All questions I had regarding this agreement have been answered to my satisfaction. * Please type your name and date which acts as your signature in agreeance to the above: Thank you!
