Description Of Potential Benefits : I understand that a program of regular exercise for the heart and lungs, muscles and

joints, has many

associated benefits. These may include a decrease in body fat. Decreased blood fats & blood pressure, improvement in psychological function, and
a decrease in risk of heart disease.
I have read the above & understand it. Any questions which may have occurred to me have been answered to my satisfaction. I also understand
that before beginning my exercise programme, I should consult with a physician. It is expressly agreed that all use of the fitness facilities shall be
undertaken by me at my own risk, and the gym and management shall not be liable for any injuries or damage to me. It is also agreed that I will
reimburse the gym or concerned member for any damage to the gym facilities, equipment or property or the property of any member by me or my
guest.
I have read & agree to abide by the rules and regulations of the club.

MANAGEMENT DISCLAIMER
1.
2.

The management reserves the right to admission.

The management may at anytime modify timings of the fitness club. Intimation of any modifications and holidays will be made available to

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members through messages on the notice board.

We reserve the prerogative to assume that all members read the notice board. 4. The management may introduce, discontinue or modify any

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facility service, equipment, rules and regulations or rates of the fitness club without prior notice.
The management shall not be considered in default of its obligations in the instance of natural calamities such as floods, earthquakes,
tornadoes, hurricanes, storms and heavy rainfall as well as occurrences such as strikes, lockouts, war, riots or fire, etc. In case of such
unforeseen exceptional circumstances, the management may also be forced to discontinue operations temporarily or permanently. Under

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such circumstances the management will not be liable to pay any refund or give any extension.
The fitness clubs participating in collateral membership, intra club transfer facility and loyalty program may change from time to time at the
sole discretion of the management and without prior notice. On request, information of these changes will be available to members at the

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front desk.
The management will not be responsible for any personal injuries or accidents sustained by individuals in and around the premises.

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Individuals may use all the facilities at their own risk.

Members are responsible for their own belongings and are advised not to carry valuables to the club. The management will not be responsible

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for any loss or theft of personal belongings of members.

Members must not keep their personal belongings or locker keys with any staff member in the club, The management will not be responsible

for any theft or loss resulting from such actions.

9.
Parking/valet-parking in and around the club premises is at the sole responsibility of members.
10. Membership fees and all other additional facility payments collected including registration fees are non-refundable. We have a No Refund
policy.
11. Members multi make all payments only at the front desk and in exchange for a valid receipt. Members are advised to retain that receipt for
the entire duration of their membership. No disputes or arguments will be entertained without presenting a valid receipt.
12. Payment towards membership or services at the fitness club ensures the rather the use of that service or membership for the duration
bought as per the rules. The payment in no way guarantees the same staff throughout the period of usage of the service or membership.
Change in staff does not entitle any member to a refund.
13. Memberships of those members not abiding by the rules or defaulting in any payment will be terminated without a refund.
14. Members must not carry or store any illegal items or arms and ammunitions in the club premises. The management will not be responsible
for such actions.
15. We assume that members have read all rules and regulations governing the operations of the club.
16. Refrain from using abusive language, fighting or treating anyone disrespectfully. If a member is found treating anyone disrespectfully or
whose actions are in any way detrimental or hurtful to the sentiments of other members or staff, the management may at its discretion,
suspend or cancel the rights, privileges or membership of that individual without refunding the fees.
17. Smoking, consuming alcohol and chewing of beetle leaf or tobacco in the premises is strictly prohibited. Entering the fitness club premises
under the influence of alcohol or any recreational drugs is strictly prohibited. If a member is found breaking this rule, the management may
at its discretion, Suspend or cancel the rights, privileges or membership of that individual without refunding the Fees.

18. I agree & understand that Refund under

any circumstances is not possible.

Date : __________________ Signature of Member:_______________________

FOR OFFICE USE ONLY

FF Bill No:________________________ Discount Authorized By:____________________ Member Attended By:_______________
Payment For

Base Amount

Discount

Registration Charge

Net Amount

Service charge
Service tax
Gross Total

Amount Paid
1.

Date

Mode of Payment
Cash

Cheque

2.

Cash

Cheque

CARD

3.

Cash

Cheque

CARD

Cheque No.

Bank

CARD

[[[

MEMBERSHIP CONTRACT FORM

D GYM

Photograp
h

Form Filling Date:_____________________________ Activation Date:________________________

Members Name : ____________________________________________________________________________________________________________
First

Middle

Last

Address :_____________________________________________________________________________________________________________________________
_________________________________________________________Location :_____________________________Pin Code:____________________
Mobile No.:_____________________________________________ Landline No.________________________________________________________
E-mail:________________________________________Gender:_____________Date of Birth_________________ Renewal :

Yes

No.

Person to contact in case of emergency? Name:_____________________________________________________ Mobile No._____________________

Rules and Regulations

1.

Sportswear is compulsory in the workout areas of the club. Clothing considered inappropriate by the management will be

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prohibited.
Appropriate and clean sports footwear is mandatory in the workout areas of the club.
No food or drinks are allowed in the exercise areas with the exception of covered bottles.
Bags and other personal belongings must be left outside the exercise area and neatly kept in the changing rooms or the lockers

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provided.
Television sets are provided only for visual entertainment and they will be kept on mute at all times.
Members are advised not to carry mobile phones and other valuables on the workout areas and if they do, they do so at their

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own risk.
All members are requested to carry their exercise schedule cards and duly fill the same during their workouts, These must be

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put in the appropriate slot in the holder after use. Put the cards according to the 1st letter of your last name.
Weights must be handled with care and careless dropping of weights is prohibited. Repeated offences will lead to termination of

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membership without a refund.

Please allow our trainers to focus on their prime purpose - To correct your exercise technique and to motivate you We request

you to rack all weights back on the stands after use.

10. If a piece of equipment is malfunctioning, members must discontinue use and notify staff immediately.
11. The management reserves the right to stop any activity that may be hazardous to the safety of other members e.g. skipping etc.
12. Members are requested to not ask for help from a staff member wearing a cap or a Personal training tag as this signifies that
he/she is busy with Personal training.
13. Members are requested to inform any staff member in case they experience any discomfort such as dizziness, pain, excessive
sweating, shortness of breath, etc. immediately. A comprehensive first aid kit is available at the front desk.
14. In case there is a waiting list maintained for the use of cardio machines, members who put their names on the waiting list are
requested to note that when their turn comes, the receptionist will wait for the member to avail his/her turn for a limited period
of 2 minutes only. After the 2 minute waiting period the turn will be given to the next member in line. The member who has
missed his/her turn will have to put his/her name again at the bottom of the list.
15. In order to maintain hygiene, it is compulsory to carry a napkin or a towel while working out. All equipment must be wiped
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clean after use.

Chalk for securing grip on free weights is not permitted. Locks on barbells must be used at all times.
All guidelines and directions provided by the trainers for use of equipment must be adhered to.
Members must stop or pause the treadmill before getting off even if it is for a short while.
Maximum time limit set by management for using cardio equipment must be strictly adhered to.
The temperature within the premises and the volume and type of music played would be maintained as-per-majority. preference
at the sole discretion of the management.

please refer to the detailed rules and regulations that can be accessea at the reception under the sole discretion of the branch manager

INFORMED CONSENT
General Statement Of Program Objectives And Procedures: I understand that this physical fitness program may include exercises to
improve the cardio respiratory system (heart and lungs), the musculoskeletal system (muscle endurance, strength and flexibility), and to
improve body composition (decrease body fat in individuals leading to lose fat, with an increase in weight of muscle and bone). Exercise
may include aerobic activities (treadmill walking/running, bicycle riding, rowing machine exercise, group aerobic activit)c swimming and
other such activities), calisthenics and weight lifting to improve muscular strength, endurance and flexibility exercises to improve joint
range of motion.
Description Of Potential Risk: I understand that the reaction of the heart, lung and blood vessel system to such exercise cannot always
be predicted with accuracy I know there is a risk of certain abnormal changes occurring or following exercising which may include
malities of blood pressure or heart rate. Ineffective functioning of heart, and in rare instances, heart attack. Use of the weight lifting
equipment and engaging in strenuous body calisthenics can lead to musculoskeletal strains, pain & injuries if adequate warm up,
gradual progression and safety procedures are not followed.