Joe Bonington

Select the Fitness Program you wish to enrol on

Sweat and Tears
Peak Fitness
Peak Performance
Ultimate PT
TrekFit

Personal Information

Title:

First Name:

Surname:

Date of Birth:

Sex: Male Female

Your Shirt Size:

Contact Details

Address Line 1:

Address Line 2:

Town/City:

State/Territory:

Postcode:

Email:

Home Phone:

Work Phone:

Mobile Phone:

Fax:

Preferred contact method: Phone Email Letter

Emergency Contact

Title:

First Name:

Surname:

Relationship:

Phone:

Statistical Information

How did you hear of us:

Your main fitness goal:

Medical Information

Are there any known reasons such as an illness, disability, impairment or otherwise, which may impact, limit or influence your ability to participate in any physical activities, including (but not limited) any one or more of the following?

Medical Conditions	Yes	No
Arthritis	Yes	No
Asthma	Yes	No
Diabetes	Yes	No
Family History of Heart Disease	Yes	No
Heart Condition:	Yes	No
High Blood Pressure	Yes	No
Low Blood Pressure	Yes	No
Heart Palpitations	Yes	No
Pain or Tightness in the Chest	Yes	No
Rheumatic Fever	Yes	No
Liver/Kidney Condition	Yes	No
Regular Headaches	Yes	No
Major Injuries	Yes	No
A Hernia	Yes	No
Muscular Pain/Cramps	Yes	No
Back Pain	Yes	No
Chronic Cough	Yes	No
High Cholesterol	Yes	No
Do you Smoke?
Are there any other factors that may limit activity?	Yes	No
If female, Are you Pregnant?	Yes	No
If female, Are you over 45 yrs and unaccustomed to exercise?	Yes	No
If male, Are you over 35 yrs and unaccustomed to exercise?	Yes	No
If you have answered ’YES‘ to any of the conditions above, do you have clearance from your doctor to exercise?	Yes	No

Describe in more detail any condition you ticked above:

Need a Hand?

If at any time you need any help, please don't hesitate to give us a call on: +61 2 9400 2561 or send us an email.

How to Enrol

Step 1: Complete the enrolment form and submit.
Step 2: Please download the Terms and Conditions PDF, print it, sign it, and bring it along to the first session.
Step 2: We will send payment details on receipt of your enrolment form.

Refunds and Cancellations

Please refer to the Terms and Condtions PDF for our refund and cancellation policy.

Joe Bonington

Sweat + Tears Group Training Enrolment

Select the Fitness Program you wish to enrol on

Personal Information

Contact Details

Emergency Contact

Statistical Information

Medical Information

Need a Hand?

How to Enrol

Refunds and Cancellations

Joe Bonington