GV Membership form by 18wg671c

VIEWS: 0 PAGES: 4

									                                       Golf View Leisure Club
                                   Membership Application Form
                               Terms, Conditions & Leisure Club Rules
TITLE: ...................................... …………                      D.O.B:……………………………………………….
FORENAME:……………………………                                                    SURNAME: ..............................................................
ADDRESS: ........................................................................................................................................
      .....................................................................................................................................................
POSTCODE: .....................................................................................................................................
TEL NO:.....................................................             MOBILE NO: ...........................................................
E MAIL ADDRESS........ ..................................................................................................................
EMPLOYERS NAME (Corporate rates may apply)..……………………………………………...
MEMBERSHIP TYPE: (Peak / Off Peak)........................................................................................

PARTNERSNAME:……………………………………D.O.B: ………………………………….
ADDRESS: (if different)..................................................................................................................
..........................................................................................................................................................
E MAIL ADDRESS............................................................................... MOBILE.........................

CHILD’S NAME: (family membership only)
........................................................................................... D.O.B: ……………
........................................................................................... D.O.B: ……………
........................................................................................... D.O.B: ……………
............................................................................................. D.O.B: ……………

NEXT OF KIN: .................................................................................................................................
ADDRESS: ........................................................................................................................................
TEL NO: ............................................................................................................................................

WHERE DID YOU HEAR ABOUT OUR FACILITY?
....................................................................................................................................

We have read, understood and accept the Terms and Conditions of membership and agree
to abide by the Leisure Clubs Rules.

SIGNED ON BEHALF OF ALL NEW MEMBERS AS NOTED ABOVE

.............................................................................................................................................................
                                 New Member Physical Activity
                                   Readiness Questionnaire
New Member [ ] Free Trial [ ] Resident [ ] Guest [ ] Guest of _____________

Full Name ____________________ Date of Birth__________________________

Address ___________________________________________________________
___________________________________________________________________

Post Code         _________Telephone________ Date_________________________

Email address:_______________________________________________________

The Questions below will indicate if you need to check with your Doctor before you start exercising. If you are over 69 years of age
and not currently active you should consult with your doctor prior to commencing an exercise regime.

Please read the questions below and answer honestly (Circle the most applicable answer )

Has your Doctor ever said that you have a heart condition and you should only do physical activity
recommended by a doctor?                       Yes / No

Do you have high blood pressure?                                                      Yes / No

Do you have any pain in your chest when you do physical activity?                     Yes / No

In the past have you ever had chest pain during physical activity?                    Yes / No

Do you lose you your balance because of dizziness or do you ever lose consciousness?
                               Yes / No

Do you have a bone or joint problem that could be made worse by a change in your physical activity?
                                        Yes / No

Are you currently taking any prescribed medication excluding the contraceptive pill?
                                 Yes / No

Do you know of any reason why you should not be undertaking physical activity?
                              Yes / No


If you have answered any of the above questions with a yes you will need to consult with your GP BEFORE you start becoming
more physically active or BEFORE you have a fitness appraisal. We will need written confirmation from your GP before you begin
using the gym.
Declaration
I have read, understood and completed the above questionnaire and acknowledge that there are risks and dangers inherent in
physical exercise and duly undertake the activity at my own risk. Any liability on the part of the operators is excluded unless
negligence can be proven. I agree to observe the rules and conditions of membership. I also acknowledge that I must not use any
piece of equipment for which I have not been shown how to use by an instructor. I confirm that the information that I have provided
is correct at this time and should I become aware of any relevant changes to my health or condition, I will inform an instructor.

Signed______________________________________ Staff Initials___________________________
                                  LEISURE CLUB TERMS & CONDITIONS
   Membership


1. On Management approval, membership will be confirmed upon payment of the appropriate joining and annual
   membership fees. (See fees)

2. Any member wishing to take up youth membership must supply proof of age from the following: - either a passport
   or proof of age card. Full adult membership is automatically taken up on their 16th birthday regardless of their
   membership type.

3. All members must swipe their cards on arrival to the club on each visit. If a member has forgotten their card then
   they must report this to the duty leisure attendant on their arrival.

4. Members may introduce up to 2 guests to the club for a reduced fee at any time. (See guest fees) The member will
   be responsible for the conduct of his/her guests at all times. Guests may not remain in the club once the introducing
   member has departed.

5. All members and guests entering the club must be over the age of 16 unless accompanied by a responsible adult of
   at least 21 years of age, if unable to provide proof of age, access to the complex will be at the discretion of the
   Leisure Club Manager and the guest may well be refused entry.

6. The Management may terminate the membership in the following circumstances:

7. If you commit a serious breach of the clubs rules and regulation and the breach, if capable of remedy is not
   remedied.

8. If any part of your membership fee remains unpaid 15 days after its due date for payment.

9. If you provide us with details which you know to be false when applying for membership and the false declaration
   would have reasonably affected our decision to grant you membership.

10. Child members are from 5 years of age to that of 15 years of age. During this age the child may not enter the
    building without the company of their parent(s) or a responsible adult over 21 years of age



   Fees


1. Annual paying members will be billed on the last month of their current year and will be due for payment on the
   first day of the month of their new year, automatically becoming overdue on the 15th of that month.

2. Failure to pay the annual fee within the stipulated period will automatically invalidate membership and the joining
   fee will be applied if membership is renewed.

3. For members who are paying by monthly direct debit, payment will be received on the first working day of each
   month directly from your bank. Members who’s direct debit is refused by their bank, on any month will have their
   memberships automatically suspended on that day and will receive an invoice for the payment for that particular
   month. On payment of this invoice, membership privileges will be restored.

4. Membership fees are only refundable if the member feels that the club is at serious fault and that they did not get
   full value for money.

5. Fees will be reviewed annually.
General Rules


1. No under 16's can be admitted unless accompanied by a responsible adult over the age of 21 years. The adult who
   introduces the child to the club must remain with the child(s) while present in all areas within the leisure club and
   also take full responsibility for their supervision and their conduct at all times.

2. Due to maintenance and the ever-increasing legislation being introduced with regards to Health and Safety, the
   Management and Staff reserve the right to close any area or equipment within the Leisure Club for necessary work
   to be carried out to a satisfactory standard. No compensation for the loss of any amenities shall be given unless the
   club is at serious fault and the member has not received anything of value.

3. All care will be taken to ensure that equipment within the Club is and continues to be maintained in good working
   condition at all times. We will compensate you for any loss or damage you may suffer, if we fail to carry out our
   obligations under this agreement or to a reasonable standard or breach any duties imposed on us by law (including if
   we cause death or personal injury to you by our negligence) unless the failure is attributable to:

         ● Your own fault.
         ● A third party unconnected with our provision of services under this agreement.
         ● Events which neither our suppliers nor we could have foreseen or forestalled even if we had taken all
           reasonable care.

4. In the interest of safety and hygiene, Members and Guests will be expected to observe the codes of practice
   expressed on the various notices displayed within the body of the club. They will also be expected to accept the
   decision of staff in respect of matters relating to safety and behaviour.

5. All children aged 5 years and over will not be permitted to enter the changing rooms of the opposite sex for any
   reason, therefore avoiding any embarrassment to other members.

6. The club hours are Monday – Friday 07:00-21.15 however the pool hall must be vacated by 20:45, Weekends:
   7:30-21:15 the pool hall must be vacated by 20:45, for cleaning.

7. Our liability to compensate you (in the case of loss or damage other than death or personal injury) is limited to a
   reasonable amount having regard to such factors, as either the damage was due to a negligent act or omission by us.
   We shall not be liable for any club users property or valuables that have not been correctly retained in lockers
   located in the changing rooms or at reception.

8. Any equipment brought in by a member or guest i.e. toys and inflatable’s may require to be removed from the club
   due to health and safety reasons, this will be at the discretion of the Leisure Club Staff on duty.

9. No member or guest may be permitted to use the gym without first completing a gym induction and a medical
   history declaration form. All guests must sign the disclaimer form before entering the club. Children under the
   age of 16 years are not permitted to use the gym. Users of the gym must inform one of the gym instructors or a
   member of staff of any change in the medical circumstances. Any information given to Crerar Hotels will be
   treated with the strictest confidence.

10. Video & photography of any kind is not permitted in any part of the Leisure club without the written consent of the
    Leisure Club Manager.

11.   Golf View Leisure Club reserves the right to make, alter or amend the Terms and Conditions of membership and the
      and the Leisure Club Rules with 4 weeks notice before implementation.

								
To top