CASUAL MEMBER | MEDICAL SCREENING

Name

First Name

Last Name

Email

Phone

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Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

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Please state below if you have, had or been told you have, any medical conditions that should be brought to the attention of Tweak Fitness Management. Medical History:

CASUAL MEMBER AGREEMENT | The casual member acknowledges and agrees that a casual visit to Tweak Fitness Tully 24/7, 4 Still Street Tully, has inherent dangers and risks, including risk of injury. The casual member also agrees that due to the nature of the activity it would be unreasonable for Tweak Fitness Tully 24/7 or any of its servants or agents to be in any way responsible for any injury to the casual member.

I understand and AGREE

I understand and DO NOT Agree