Membership Application

  • *Membership type

    MEMBER DETAILS

    *First name
    *Last name
    *Member Phone Number
    *Emergency Phone Number
    *Member's DOB

    (Must be 3 years or above)

    *Gender
    *Your email
    *ID Card
    PHYSICAL DETAILS
    *Do you have a family history of any conditions or diseases?
    *Please specify
    *Are you used to regular exercise?
    *Please specify
    *For any reason, have you been hospitalised in the last 6 months?
    *Please specify
    *Do you lose your balance due to dizziness or do you lose consciousness while exercising?
    *Please specify
    *Do you suffer from bone or joint problems that could be aggravated by exercise
    *Please specify
    *Do you suffer from chest pain during physical activity?
    *Please specify
    *Are you on medication or have been on medication in the last six months?
    *Please specify
    *Are you (or may be) pregnant now or have given birth in the last 6 months?
    *Please specify
    *Are you aware of any condition that should prevent you from exercise?
    *Please specify
    *Do you smoke? If yes, how many?
    *Please specify
    *Are you on any medication or any dietary supplements?
    *Please specify
    HEALTH CONDITION
    *Do you suffer or have ever suffered from any of the following?
    *If others, kindly specify
    *TERMS OF USE

    MEMBER 2 DETAILS

    *First name
    *Last name
    *Member Phone Number
    *Emergency Phone Number
    *Member's DOB

    (Must be 3 years or above)

    *Gender
    *Your email
    *ID Card
    PHYSICAL DETAILS
    *Do you have a family history of any conditions or diseases?
    *Please specify
    *Are you used to regular exercise?
    *Please specify
    *For any reason, have you been hospitalised in the last 6 months?
    *Please specify
    *Do you lose your balance due to dizziness or do you lose consciousness while exercising?
    *Please specify
    *Do you suffer from bone or joint problems that could be aggravated by exercise
    *Please specify
    *Do you suffer from chest pain during physical activity?
    *Please specify
    *Are you on medication or have been on medication in the last six months?
    *Please specify
    *Are you (or may be) pregnant now or have given birth in the last 6 months?
    *Please specify
    *Are you aware of any condition that should prevent you from exercise?
    *Please specify
    *Do you smoke? If yes, how many?
    *Please specify
    *Are you on any medication or any dietary supplements?
    *Please specify
    HEALTH CONDITION
    *Do you suffer or have ever suffered from any of the following?
    *If others, kindly specify
    *TERMS OF USE

    MEMBER 3 DETAILS

    *First name
    *Last name
    *Member Phone Number
    *Emergency Phone Number
    *Member's DOB

    (Must be 3 years or above)

    *Gender
    *Your email
    *ID Card
    PHYSICAL DETAILS
    *Do you have a family history of any conditions or diseases?
    *Please specify
    *Are you used to regular exercise?
    *Please specify
    *For any reason, have you been hospitalised in the last 6 months?
    *Please specify
    *Do you lose your balance due to dizziness or do you lose consciousness while exercising?
    *Please specify
    *Do you suffer from bone or joint problems that could be aggravated by exercise
    *Please specify
    *Do you suffer from chest pain during physical activity?
    *Please specify
    *Are you on medication or have been on medication in the last six months?
    *Please specify
    *Are you (or may be) pregnant now or have given birth in the last 6 months?
    *Please specify
    *Are you aware of any condition that should prevent you from exercise?
    *Please specify
    *Do you smoke? If yes, how many?
    *Please specify
    *Are you on any medication or any dietary supplements?
    *Please specify
    HEALTH CONDITION
    *Do you suffer or have ever suffered from any of the following?
    *If others, kindly specify
    *TERMS OF USE

    MEMBER 4 DETAILS

    *First name
    *Last name
    *Member Phone Number
    *Emergency Phone Number
    *Member's DOB

    (Must be 3 years or above)

    *Gender
    *Your email
    *ID Card
    PHYSICAL DETAILS
    *Do you have a family history of any conditions or diseases?
    *Please specify
    *Are you used to regular exercise?
    *Please specify
    *For any reason, have you been hospitalised in the last 6 months?
    *Please specify
    *Do you lose your balance due to dizziness or do you lose consciousness while exercising?
    *Please specify
    *Do you suffer from bone or joint problems that could be aggravated by exercise
    *Please specify
    *Do you suffer from chest pain during physical activity?
    *Please specify
    *Are you on medication or have been on medication in the last six months?
    *Please specify
    *Are you (or may be) pregnant now or have given birth in the last 6 months?
    *Please specify
    *Are you aware of any condition that should prevent you from exercise?
    *Please specify
    *Do you smoke? If yes, how many?
    *Please specify
    *Are you on any medication or any dietary supplements?
    *Please specify
    HEALTH CONDITION
    *Do you suffer or have ever suffered from any of the following?
    *If others, kindly specify
    *TERMS OF USE

    MEMBER 5 DETAILS

    *First name
    *Last name
    *Member Phone Number
    *Emergency Phone Number
    *Member's DOB

    (Must be 3 years or above)

    *Gender
    *Your email
    *ID Card
    PHYSICAL DETAILS
    *Do you have a family history of any conditions or diseases?
    *Please specify
    *Are you used to regular exercise?
    *Please specify
    *For any reason, have you been hospitalised in the last 6 months?
    *Please specify
    *Do you lose your balance due to dizziness or do you lose consciousness while exercising?
    *Please specify
    *Do you suffer from bone or joint problems that could be aggravated by exercise
    *Please specify
    *Do you suffer from chest pain during physical activity?
    *Please specify
    *Are you on medication or have been on medication in the last six months?
    *Please specify
    *Are you (or may be) pregnant now or have given birth in the last 6 months?
    *Please specify
    *Are you aware of any condition that should prevent you from exercise?
    *Please specify
    *Do you smoke? If yes, how many?
    *Please specify
    *Are you on any medication or any dietary supplements?
    *Please specify
    HEALTH CONDITION
    *Do you suffer or have ever suffered from any of the following?
    *If others, kindly specify
    *TERMS OF USE
    Added Child

    Child accompanied by a guardian (Added unto Single or Couple)

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