ACCESS REGISTRATION FORM - @RACV
Transcript of ACCESS REGISTRATION FORM - @RACV
The following Fitness Centre activities are included in your Club membership and access fees do not apply:
• Access to tennis/squash courts• Aquatics areas (including pool, spa, sauna, steam room)• Change rooms
As a Gymnasium Access holder, you have access to the following additional services and facilities:
• Use of cardiovascular and weights equipment in the gym•Supportandsupervisionfromfullyqualifiedfitnessconsultants•Accesstogroupfitnessclasses•Healthandfitnessprogramwhichincludeshealthreviews,exerciseprogramdevelopmentandone-on-oneexerciseshow-through,withafollowupevery6-8weeks.
Note:Facilitiesdifferdependingonlocation.
The following services are available at an additional rate:
•One-on-oneorgrouppersonaltrainingsessions• Private swimming lessons and squad classes• Tennis/squash/golf coaching•Specialisedclasses,coursesandworkshops• Children’s activities• Massage and day spa services• Nutritional appointments
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I wish to register for access to the Gymnasium at the RACV Club Fitness Centre
Title:............First name:................................................. Surname:................................................................................
Membership Number:....................................................Club Member Since:...............................................................
Email:.............................................................................................................................................................................
Contact Phone Number (W):..........................................Contact Phone Number (M):...................................................
In an emergency contact: Name:....................................Contact Phone Number:..........................................................
Please select your primary Fitness Centre access location: City Club Healesville Country Club
PAYMENT DETAILS(NotapplicableifpaymenthasbeenincludedwithClubmembershipapplication).
Total amount payable $.............................. (Calculated on a pro-rata basis. Contact the Fitness Centre for the current pro-rata amount).
I wish to pay by: Club Account Cheque enclosed payable to RACV Club
Credit card (can only be paid in person at reception)
Nameoncard:......................................................................
Signature:.............................................................................. Date:.............../................/...............
DECLARATIONFitness to Participate:IdeclarethatIammedicallyandphysicallyfitandabletoparticipateinanyrecreationalactivity.IwillimmediatelynotifyRACVinwritingofanychangetomyfitnessandabilitytoparticipate.IunderstandandacceptthatRACVwillcontinuetorelyuponthisdeclarationasevidenceofmyfitnessandabilitytoparticipate.Consent to medical treatment: If required, RACV will arrange medical or hospital treatment (including ambulance transportation)forme.IauthorisesuchactionsbeingtakenbyRACVwheremyfurtherconsentcannotbeobtainedandagreetomeetallcostsassociatedwithsuchaction.
IwouldliketobecontactedforaNutritionalLifestyleconsultation(CityClubonly).IwouldliketobecontactedforacomplimentaryPersonalTrainingSession. I have read and understood the terms and conditions on the reverse of this form and agree to abide by them.
ClubMemberSignature:........................................................ Date:.............../................/...............
FitnessCentreRepresentative:................................................ Date:.............../................/...............
PRIVACY STATEMENTTheRACVClubFitnessCentreissubjecttotheprovisionsofthePrivacyAct1988.Thepersonalinformationprovidedbyyouonthisapplicationwillbeusedtoprocessyourmembershipapplication.Inordertoverifyyourpersonalinformationyoumayberequiredtoprovideproofofidentification,suchasadriverslicence,senior’scardetc.YouhavetherighttoaccessandcorrectanyofyourpersonalinformationthattheClubholdsonyoubycontactingRACVClubon1300501501.
RACVClubdoesnotdiscloseyourpersonalinformationtoanyotherorganisationorpersonunlessthereisalegalrequirementtodoso.RACVClubmaydiscloseyourinformationtothirdpartiesthatprovideservicestotheRACVClub,suchasmailhouses.Thesecontractsrequirethethirdpartytokeepyourpersonalinformationconfidentialandsecure.
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FITNESS CENTRE ACCESS TERMS & CONDITIONS1. Membership and Access
•MembersmustpresenttheirmembershipcardoneachvisittotheFitnessCentre,andaccesstothefacilitieswillthenbeprovided.•GymaccesswillbegrantedatthediscretionoftheRACVClubFitnessCentre(RACV)management.•Classesandinstructorsaresubjecttochangewithoutpriornotification.•Gymaccessisnottransferable,exceptintheeventofthedeathoftheRACVClubmember,wheretheClubmembershipcanbetransferredtoaspouseorfamilymemberfortheremainderofthemembershipyear.
• Gym access will automatically renew on the member’s individual renewal date, unless RACV is instructed by the member to cancel Fitness CentreAccessattheendoftheClubmembershipperiod.
•SuspensionisnotavailableonFitnessCentreaccess.•Gymaccesscanonlybeusedbythepersonnamedontheapplicationform.•GymaccessincludesaccesstotheFitnessCentreanduseofitsfacilitiesduringopeninghours.Theremaybeanextrachargeforparticipationinworkshops,coursesandcoachingwhichmayberunfromtimetotime.
•UpontheexpirationofyourRACVClubmembership,allentitlementsofyourmembership,includingFitnessCentreAccess,areforfeited.•Anyapplicationtore-joinwillbeatthefullfee,currentatthattime.
2. Payment Details•SixmonthFitnessCentreaccesscanonlybetakenoutbymembersinthefirstmonthofClubmembership.•Gymaccessmustbepaidforinfullatthetimeofregistration.Partpaymentswillnotbeaccepted.•WherepaymentischargedtoyourRACVClubaccount,detailswillappearonyourstatementinthefollowingmonth.•TherearenorefundsonGymaccess.FailuretoattendandpartakeoftheFitnessCentre’sservicedoesnotrelieveyouofanyliabilityforpaymentnordoesitentitleyoutoarefund.
•FitnessCentreManagementreservestherighttoalteranyFitnessCentrefeeatanytimeinlinewithstandardeconomicindicators.•NotificationofanypriceincreasewillbemadeonnoticeboardsandbulletinsatleastonemonthinadvanceofanypaymentincreasesorchangesinthetermsandconditionsofyourGymAccess.
3. Health and Safety•BysigningthisdocumentyougivepermissionforFitnessCentrestafftoseekmedicalassistanceatyourexpenseinanemergencyifrequired.• Ifyouaremaleagedover35,orafemaleagedover45,andhavenotpreviouslybeenexercisingonaregularbasis,itisrecommendedthatyouvisityourdoctorpriortocommencingaregularexerciseprogram.
• ItisstronglyrecommendedthatallGymAccessholdersarecoveredbyambulanceinsurance.•AmedicalquestionnairemustbecompletedpriortoyourfirstusageoftheGym.ClearancemayberequiredfromadoctorbeforecommencinganyprogramwithintheGym.Allrelevantinjuries/illnessesshouldbedeclaredinthisquestionnairesothatasafeandbeneficialprogramcanbewrittenforyou.
•PleaseinformtheFitnessCentrestaffofanymedicalchangesthatmayoccurwhileyouareauseroftheGym.• FitnessCentreManagementreservestherighttorefuseuseofthefacilitiesatanytimeshoulditbeconcernedaboutamember’sstateofphysicalhealth.
4. Guests•MembersandtheirguestsarerequiredtousetheFitnessCentreinaproperandreasonablemanner.RACVClubreservestherighttorequireanymemberorguesttomakegoodorindemnifyRACVClubagainstanydamagetofacilitiesorotherpersonscausedbynegligenceorwrongfulactofsuchMemberorguest.
• Club members may bring guests in to use the facilities of the Fitness Centre but not the gymnasium (subject to availability), providing that they aresignedinandarepreparedtoacceptfullresponsibilityfortheconductoftheirguests.AllguestsmustcompletetheGuestAgreementandWaiverformpriortoenteringtheFitnessCentre.
•Pleasenotethatguestundertheageof16yearsofagecannotusethegym,spaorsauna.Iftheguestwishestouseanyofthefacilitiestheymustpaytheappropriateguestfee.ItwillbetheresponsibilityoftheClubmembertoensurethatallguestssettleanycoststheymayhaveincurredduringtheirvisit.
5. Liability• The Fitness Centre accepts no liability for any damage, loss, illness or injury resulting from the use of RACV Club facilities by members or guestshowsoeverthatmayhavebeencaused,savefordeathorpersonalinjurycausedbyitsownnegligence.
•TheFitnessCentreacceptsnoliabilityforanyillnessorinjuryresultingfromoverexertion,aggravationorrepetitionofanymedicalconditioncausedbytheuseoftheFitnessCentre’sfacilities.
•AllpersonsusethefacilityontheexpressunderstandingthatitisattheirownriskandmembersandguestsarestronglyadvisedtoseekmedicaladvicebeforetheybeginexerciseattheFitnessCentre.
6. Termination• The RACV Club reserves the right to terminate Gym (Fitness Centre) Access immediately or to refuse any application or renewal of Gym (FitnessCentre)Accesswithoutwarningifamemberhasbehavedinawaythatisriskyorseriouslyinappropriate,suchas:- Threateningorharassingothers;- Misusingamembershipcard;- VandalismordeliberatedamagetoRACVClubproperty;- Non-adherencetotheClubBylawsandFitnessCentreEtiquette;- RefusaltocomplywiththeinstructionsofClubstaffinrelationtopolicy,proceduresorsafety;or- Inappropriatebehaviourtowardsmembersofstaff.
• TheFitnessCentremaywithoutnoticeterminateamember’sGym(FitnessCentre)Access,orrefuseentryifamemberisinbreachofanyoftheseconditions.• In the case of Gym (Fitness Centre) Access being terminated for any of the behaviours listed above, it shall be at the sole discretion of the FitnessCentreastowhetheranyoftheGym(FitnessCentre)Accessfeeisrefundable.
• InappropriatebehaviourcouldresultinamemberbeingcalledbeforetheClubandResortCommitteetoexplaintheirbehaviour.
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7. General•Memberswithchildrenoftheoppositegenderagedsevenyearsandoveraretouseoneofthefamilychangerooms.Pleasenotethatfamilychangeroomsmustbeusedunderadultsupervision.
8. Waiver, Release And Indemnity•YouacknowledgethattherearedangersandrisksinherentwithparticipatinginactivitiesattheFitnessCentre(including,butnotlimitedtoanyactivitythatisperformedwithintheFitnessCentreandanyspecialisedclasses,coursesandworkshopsthatisconductedwithinorexternaltotheFitnessCentre)(the“Activity”)towhichyoumaybeexposedbyaccessingtheFitnessCentre.
•YouagreethatyouareparticipatingintheActivityatyourownriskandyouvoluntarilyassumeresponsibilityforanyinjury,deathorpropertydamageyoumaysufferasaresultofyourparticipationintheActivity.
•Tothemaximumextentpossibleatlaw,youagreetorelease,holdharmlessandindemnifyRACVagainstallactions,claims,suits,costs,expenses,demandsanddamagessufferedorincurredbyRACVbyreasonoforinrespectoforinanymannerwhatsoeverarisingoutoforcausedbyyouruseoftheFitnessCentreorparticipationintheActivity.
•YouagreethatyouareusingtheFitnessCentreontheexpressconditionthatRACV:- will,undernocircumstancesbeliableorresponsibleinanymannerwhatsoeverforanydeath,loss,accident,damageorinjurytoyouorany
ofyourvisitororinviteeoranyotherpersonwhatsoever(“RelatedParty”)whichmayhappenasaresultofyouruseoftheFitnessCentre;and- willnotincurorbeunderanyliabilitywhatsoevertoyouortoanyRelatedPartyforanyloss,damageorinjurytoorinrespectofanyofyour
property or of any Related Party’s property, exceptasoccasionedbythegrossnegligence,actsoromissionsofRACVoritsservants,agents,contractors,visitorsorinvitees.•RACVisnotliabletoyouinrespectofanyindirectorconsequentialloss.Fortheavoidanceofdoubt,‘consequentialloss’meanslossor
damage arising from a breach of contract, tort (including negligence), under statute or any other basis in law or equity including, but without limitation,lossofprofits,lossofrevenue,lossordenialofopportunity,lossofgoodwill,lossofbusinessreputation,futurereputationorpublicity, damage to credit rating and indirect, remote, abnormal or unforeseeable loss, or any similar loss whether or not in the reasonable contemplationoftheparties.
9. Course Indemnity• IunderstandandacknowledgethatoutdooractivitiesconductedbyRACV(including,butnotlimitedtoactivitiessuchasbootcamp,runninggroupandpersonaltrainingconductedoutdoors)(“OutdoorActivities”)carrywithittheinherentriskofphysicalinjury,includingseriousinjurysuchaspermanentdisability,paralysisandevendeath.Suchinherentrisksinclude,butarenotlimitedto:- contactorcollisionwithpersonsorobjects(includingcontactwithotherparticipantsandcontactwithnaturalorman-madefixedobjects
orobstacles);- encounterswithobstacles(e.g.naturalandman-madewater,roadandsurfacehazards);- weather-relatedhazards(e.g.extremeheat,extremecold,humidity,ice,rain,fog);and- inadequatefirstaidandemergencymeasures.
•Tothemaximumextentpossibleatlaw,youagreetorelease,holdharmlessandindemnifyRACVagainstallactions,claims,suits,costs,expenses,demandsanddamagessufferedorincurredbyRACVbyreasonoforinrespectoforinanymannerwhatsoeverarisingoutoforcausedbyyourparticipationinOutdoorActivities.
WARNING UNDER THE FAIR TRADING ACT 19991. UndertheprovisionsoftheFairTradingAct1999severalconditionsareimpliedintocontractsforthesupplyofcertaingoodsandservices. These conditions mean that RACV is required to ensure that the recreational services it supplies to you are:
•renderedwithduecareandskill;and•fitforthepurposeforwhichtheyarecommonlyboughtasitisreasonabletoexpectinthecircumstances;and• reasonablyfitforanyparticularpurposeormightreasonablybeexpectedtoachieveanyresultYouhavemadeknowntothesupplier.
2. Undersection32NoftheFairTradingAct1999,RACVisentitledtoaskyoutoagreethattheseconditionsdonotapplytoyou.IfyousignthisformyouwillbeagreeingthatyourrightstosuethesupplierundertheFairTradingAct1999ifyouarekilledorinjuredbecausetheservicesrenderedbyRACVwerenotrenderedwithduecareandskillortheywerenotreasonablyfitfortheirpurpose,areexcluded,restrictedormodifiedinthewaysetoutintheseTermsandConditions.
NOTE: The change to your rights, as set out in these Terms and Conditions, does not apply if your death or injury is due to gross negligence on RACV’spart.“Grossnegligence”isdefinedintheFairTrading(RecreationalServices)Regulations2004.
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