Name *

First Name

Last Name

How did you hear about Kate Campbell Fitness? *

Facebook

Google

Recommended by friends and or family

Instagram

Select the service you are most interested in? *

Personal training program

Gym membership

Massage | Rehabilitation | Sports therapy

Pregnancy fitness

Postnatal fitness

Home or Gym self directed program

PAYG classes

Fitness on demand workouts

Redeem Gift Voucher

Other - Add details below

Informed consent and waiver *

I hereby state that I have read understood and answered honestly the screening questionnaire. During the exercise program, every effort is made to keep the class / session safe and minimise the risks whilst providing an effective session. I am participating of my own free will and I am aware, as with any exercise program, there is a risk of injury. I agree to participate in the exercise program described to me by Kate Campbell and the Kate Campbell Fitness Team I understand that in order for the session to remain safe, alternatives and adaptations will be made throughout. The structure, purpose, benefits and risks of the session will be explained throughout the class, and I understand that I may withdraw from the session at any time. I understand it is my responsibility to inform Kate Campbell fitness staff if any physical / Medical changes occur which may prevent me from exercising safely. If at any time you feel undue pain or excessive discomfort, Stop the activity and inform instructor. I understand that from time to time photographs will be taken for advertising and promotion, and I agree to have any pictures of me used in this way. I will not hold KATE CAMPBELL FITNESS or staff liable in any way for injuries or illness that may occur while I am training.

I agree

Terms and conditions *

By ticking I have read agree and accept the terms and conditions available in the footer of this webpage

I accept