Jan/Mar Class Registration Form 2018

Our New Year 2018 Term runs from 29th January for 8 weeks until 28th March. Please fill out the form below to secure your place.

* 1. Please enter the following personal details :

* 2. Have you previously attended classes with ForgetTheGym ?

* 3. How many classes will you attend each week  :

* 4. Please select the class times you wish to register for :

FunRun : For those just finished Beginners, Lapsed Runners and all comfortable over 4k distance
Strength and Speed : Become a faster and Stronger Runner : 5k + distance

* 5. What is your current fitness level. What exercise do you currently do on a weekly basis ?
(it's ok to tell the truth!, most people do very little. Our aim is to make you enjoy exercise and increase what you currently do!)

* 6. Do you suffer from any of the following conditions. Please Tick box for any conditions. If none, please tick 'None of the Above' box.

Please provide full details in comments box

* 7. Do you know of any other reason why you
should not engage in physical activity?

* 8. Are you pregnant?

** Please note, classes are not suitable for pregnant women. If you do become pregnant during class term, please advise your instructor.

* 9. To secure your place, please Confirm Payment Option, and process your payment :

* 10. How did you hear about our classes:

* 11. Please write your name below to agree with the following statement :

I have volunteered to participate in a program of physical exercise under the direction of ForgetTheGym.ie.

I acknowledge that I have thoroughly read this waiver and release and fully understand that it is a release of liability. By signing this document, i am waiving any right I or my successors might have to bring a legal action or assert a claim against ForgetTheGym.ie for your negligence or that of your employees, agents, or contractors.

I do here and forever release and discharge and hereby hold harmless ForgetTheGym.ie, and their respective contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting there from. This waiver and release of liability includes, without limitation, injuries which may occur as a result of (1) equipment/outdoor props that may malfunction or break (2) any slip, fall, dropping of equipment and (3) our negligent instruction or supervision.

I recognise that an examination by a doctor should be obtained by all participants prior to involvement in any exercise program. If I have chosen not to obtain a doctors’s permission prior to beginning this exercise program, I hereby agree that I am doing so at my own risk.

I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary.

Please write your name below to agree to terms above

Please Note:
Classes are 1 hour long and will take place in all weather conditions.
Once you have completed this form, you will be diverted back to www.ForgetTheGym.ie for payment.
To complete your registration click 'Submit Your Registration' button below.
The Week before classes commence, I will send you a reminder.

See you soon, Mary