E-mail : info@fitsquad.ie   Phone : +353 87 7914876
FITSQUAD SIGN UP

All information supplied on this form

will be kept strictly confidential

and never shared with a third party.

As an alternative to filling out this form you can download a pdf here.

Name:



Which location do you want to join:



When do you want to start:

Day:   Month:   Year:


Membership Type:



Gender:



Address:



Day of birthday:

Day:   Month:   Year:

We only ask employer details as if we find that a lot of people are joining from the same
company or location and train on way home from work, we will consider this
when deciding on class times and venue.

Mobile Number:

We will send class reminder texts f.o.c. the night before

Home Number:



Emergency Contact Name:



Emergency Contact Number:



Doctors Name:



Doctors Number:



Email Address: (personal)

Use this address.

Email Address: (work)

Use this address.

We email any change of class details

How Did You Hear About FitSquad:

This simply helps us gauge what form of advertising we get the best return from

If Referred by a current or previous member please name:



Have you had any form of illness/disease eg asthma, diabetes, epilepsy?

If yes please specify:



Is there a history of heart disease in your family?

If yes please specify:



Do you suffer from chest pains?

Do you suffer from high blood pressure?

Do you suffer from high cholesterol levels?

Are you currently taking any medication?

Have you had surgery in the last 4 months?

Are you or have you been pregnant in the last 4 months?

Have you any muscle or joint injuries?

Have you had any condition that may be aggravated by weight lifting?

Have you any condition that may limit your exercise programme?

Have you ever been advised not to exercise by a doctor?

Do you smoke?

If yes how many a day?

Do you exercise?

If yes, what type and how often?

If you have answered yes to more than one of the above questions please consult
with your doctor on this before participating in this FitSquad activity.

Click here to confirm that you agree to the terms, conditions and waiver.




Benefits from Joining Fitsquad
In eight weeks Fitsquad can help you
- Increase your fitness levels
- Build lean muscle
- Help lose excess weight
- Reduce stress levels
- Boost confidence
- Improve your concentration levels
- Meet new people
- Above all, have fun!
FITSQUAD Sign Up Confirmation
You have successfully registered your details with Fitsquad.

To begin training just turn up to the class location of your choice (see timetable).

Feel free to contact us if you require further information info@fitsquad.ie 087-7914876

We look forward to seeing you soon.

All information supplied on this form will be kept strictly confidential
and never shared with a third party.

Name:
Gender:
Address:
Date of Birth: --


Mobile Number:
Home Number:
Emergency Contact Name:
Emergency Contact Number:
Doctor's Name: $doctors_name
Doctor's Number:
Email (Personal):
Email (Work):

How did you hear about us?:
Referrer's Name:
Have you had any form of illness/disease eg asthma, diabetes, epilepsy?: No
Reason:
Is there a history of heart disease in your family?: No
Reason:
Do you suffer from chest pains?: No
Do you suffer from high blood pressure?: No
Do you suffer from high cholesterol levels?: No
Are you currently taking any medication?: No
Have you had surgery in the last 4 months?: No
Are you or have you been pregnant in the last 4 months?: No
Have you any muscle or joint injuries?: No
Have you had any condition that may be aggravated by weight lifting?: No
Have you any condition that may limit your exercise programme?: No
Have you ever been advised not to exercise by a doctor?: No
Do you smoke?: No
How Many?:

Do you exercise?: No
How Often?: