Viks Gym
GYM Induction Form
Personal Details
Male Female D.O.B (DD/MM/YY)
Surname: Forename:
Address:
Post Code: Email:
Telephone number: Mobile:
In the event of an Emergency, contact
Name: Mobile:
Terms and conditions
Please read the terms and conditions that the instructor will
show you. By signing this form you agree that you have read and
understood the terms and conditions set out and agree to
adhere to them at all times.
Print Name: Date:
Signature:
Instructor: Date:
Signature:
Viktoras Sruoga
GYM Induction Form
Personal Details
Male Female D.O.B (DD/MM/YY)
Surname: Forename:
Address:
Post Code: Email:
Telephone number: Mobile:
In the event of an Emergency, contact
Name: Mobile:
Terms and conditions
Please read the terms and conditions that the instructor will
show you. By signing this form you agree that you have read and
understood the terms and conditions set out and agree to
adhere to them at all times.
Print Name: Date:
Signature:
Instructor: Date:
Signature:
Viktoras Sruoga
