Active Aussies - Personal Trainer Sydney

Get Active

Congratulations on wanting to get started with Active Aussies.


We want to offer you 1 month FREE VIP access to our group fitness sessions or a FREE 1-on-1 consultation with a mobile personal trainer.


Before you can get started, we need you to complete the following important form. After submitting this form we will contact you to confirm your booking. No payment is taken online at this time.


If you have any questions, or need help completing this form, please contact us or give us a call on (02) 9457 7167.

 

 

Service interested in

 

 

 

Contact details (all fields are required)

Name
Date of Birth
Email
Mobile No.
Address
Suburb
State Postcode

 

 

 

Health screening

We just need to grab some important information off you to ensure that you have both a safe and
enjoyable experience as an Active Aussies member.

 

Please tick any of the boxes below that may apply to you (currently or in the past):

 

Advice from a doctor not to exercise Injuries
AIDS/HIV Infections or diseases
Arthritis Family history of heart disease
Asthma Liver or kidney disorder
Back pain Medication or drugs
Blood clot Multiple bone fractures
Chest pain or tightness Muscular pain/cramps
Chronic cough Osteoporosis
Difficulty with physical exercise Poor circulation
Diabetes Pregnancy (now or last 3 months)
Epilepsy Psychiatric disorder
Heart palpitations Pulmonary disease
Heart attack Rapid unexplained weight loss
Headaches Respiratory disease
Hernia Thyroid disorder
High/low blood pressure Smoke cigarettes
High cholesterol Stroke
Hospitalised recently Surgery

 

Please specify any other medical/health conditions that we should be aware of before you participate in any Active Aussies training sessions.

 

 

 

Membership Agreement

As an Active Aussie, I understand that exercise and nutrition are vital components of any fitness program. I understand that if I do not comply with the sound nutrition principles taught to me and/or neglect to do the exercises prescribed to me, I may severely limit the effectiveness of my fitness program. I understand that Active Aussies may from time to time prescribe exercises and nutrition programs. These programs are not intended to supersede medical advice from your doctor or other health professionals. I agree to follow my fitness program and all its components where doing so does not contravene medical advice provided to me. I agree to advise my personal trainer if I experience changes to my personal details, medical condition or health status.

 

 

Terms & Conditions

I hereby state that I have read, understood and agree to the terms and conditions set out by Active Aussies.

 

 

Informed Consent

I understand that by taking part in Active Aussies sessions I may be asked to perform activities including, but not limited to brisk walking, jogging, running at various intensities, boxing, skipping, stair climbing, swimming, weights and functional exercises using my own bodyweight. I understand that during these classes I may experience abnormal blood pressure, erratic heartbeats, fainting and in rare instances, heart attack, stroke or death.


I have read, understood and answered all of the above health screening questions both fully and truthfully. I agree to the terms and conditions set out by Active Aussies and I am aware that it is my responsibility to consult with my doctor regarding my medical fitness and suitability to engage in vigorous exercise including but not limited to those described above. I do hereby waive release of any and all rights and claims for damages I may have against Active Aussies and the exercise professional administering the exercise program provided to me. I am aware that I can withdraw at any time from the session and that these documents in no way limit my rights at law from any damage that might occur due to negligence on the part of the trainer.

 

 

Other Information

How did you find out about Active Aussies?