PARQ FORM

Member Name *

First Name

Last Name

By utilising a day pass at Jetts Hammersmith, I hereby assume full responsibility for any and all injuries, losses and damages that I incur while attending, exercising or participating in Jetts Fitness Hammersmith. I hereby waive all claims against this Gym, its instructors, or partners of individually or otherwise, for any and all injuries, claims or damages that I might incur. I have notified the staff of any conditions that may impact me during this training session today or whilst I use the gym. *

YES

Date *

MM

DD

YYYY