Crucible Registration Form

MEMBER INFORMATION
Full Name: {name}
Date of Birth: {dob}
Address: {address}
Email: {email}
Phone: {phone}
Emergency Contact Name: {emergency_contact_name}
Emergency Contact Phone: {emergency_contact_phone}

ASSUMPTION OF RISK
I acknowledge that participation in activities at Crucible Strength and Conditioning — including but not limited to Olympic weightlifting, strength and conditioning, high-intensity group fitness classes, personalised training programs, use of gym facilities during staffed and unstaffed hours, and online or remote programming — involves inherent risks of physical injury or harm. These may include, but are not limited to: muscle strains, sprains, bone fractures, dislocations, concussions, overexertion, slips, falls, equipment failure, and serious medical events including cardiac complications.

I understand that these risks exist whether the activity is supervised or unsupervised, and whether performed on-site or off-site. I voluntarily accept and assume all such risks.

ACCESS, SIGN-IN REQUIREMENTS & INSURANCE LIMITATIONS
I understand that Crucible Strength and Conditioning provides access to the facility using a manually coded door lock. This code is for my personal use only and must not be shared. The code may be updated every 1 to 3 months, and updates will be communicated via email or the members-only Facebook group.

Upon entering the gym, I agree to sign in using the designated iPad. I understand that failure to sign in on the iPad constitutes a breach of Crucible Strength and Conditioning’s participation policy and may render any incident during that visit ineligible for insurance consideration or facility liability cover.

I acknowledge that:

• Crucible Strength and Conditioning’s insurance provides liability coverage only and does not include personal injury, accident, or health insurance;

• Signing in upon entry is required for any potential insurance claim to be valid;

• I am solely responsible for any medical costs or treatment resulting from injury, illness, or incident.

I accept full responsibility for complying with access and sign-in procedures and understand that repeated failure to do so may result in suspension or termination of my membership.

UNSTAFFED ACCESS AND GYM ENTRY
I understand that Crucible Strength and Conditioning may provide access to the facility during unstaffed hours. I acknowledge that:

• No supervision, coaching, or first aid is provided during unstaffed hours.

• Emergency services may not be immediately available.

• I am solely responsible for my safety and conduct during these times.

• I will not provide entry to any other person (“tailgating”), and I accept that doing so may result in immediate suspension or termination of my membership.

REMOTE & ONLINE TRAINING
I acknowledge that any online or remote coaching, programming, or training provided by Crucible Strength and Conditioning is undertaken entirely at my own risk and without direct supervision. Crucible Strength and Conditioning is not liable for injuries or incidents resulting from use of these services, whether performed at home, in another facility, or outdoors.

MEDICAL CONDITIONS, INJURY DISCLOSURE & FITNESS TO PARTICIPATE
I confirm that I am in good health and physically fit to participate in physical activities offered by Crucible Strength and Conditioning. I agree to disclose any existing medical conditions, injuries, or limitations that may impact my ability to safely engage in training.

If I sustain an injury or experience any medical issue while training, I will notify Crucible Strength and Conditioning staff as soon as possible so that appropriate action or support can be provided.

I understand that Crucible Strength and Conditioning does not provide medical screening or fitness assessments, and that I am responsible for seeking medical clearance if required.

RELEASE AND WAIVER OF LIABILITY
In consideration for being allowed to participate in activities at Crucible Strength and Conditioning, I hereby release, waive, and discharge Crucible Strength and Conditioning, its owners, employees, trainers, contractors, volunteers, and affiliates from any and all liability, claims, demands, actions, or rights of action arising out of or related to any loss, damage, or injury — including death — that may be sustained by me or to any property belonging to me, except in cases of gross negligence or a failure by Crucible Strength and Conditioning to take reasonable care for member safety, to the fullest extent permitted by Queensland law.

INDEMNIFICATION
I agree to indemnify and hold harmless Crucible Strength and Conditioning, its owners, employees, trainers, contractors, volunteers, and affiliates from any and all claims, liabilities, damages, losses, or expenses (including legal fees) that may arise due to my actions, conduct, or participation in any activities, services, or use of the facility.

MEDICAL TREATMENT & HEALTH DISCLOSURE
I consent to receiving first aid or medical treatment in the event of an emergency while at Crucible Strength and Conditioning. I understand that Crucible Strength and Conditioning staff may not be medically qualified, and that I am responsible for all medical costs incurred as a result of any injury, incident, or emergency response.

CODE OF CONDUCT & FACILITY USE
I agree to:

• Use gym equipment safely and as intended

• Clean equipment after use

• Follow staff instructions, signage, and safety protocols

• Respect all other members

• Never share my access credentials or allow unauthorised entry

• Accept that breach of these conditions may result in membership suspension or cancellation

I understand that deliberate misuse of equipment, unauthorised access, or failure to follow safety procedures may result in immediate membership termination without refund, and I may be held liable for any resulting damage.

MINOR MEMBERS (UNDER 18)
If the member is under 18 years old, I, the parent or legal guardian, agree to the terms of this waiver on their behalf and accept full legal and financial responsibility for their safety, conduct, and any claims arising from their participation.

I confirm that I have explained the risks involved to the minor member to the best of my ability, and I believe they understand and accept these risks.

PRIVACY & PERSONAL DATA
I consent to the collection and use of my personal information for membership and communication purposes in accordance with Crucible Strength and Conditioning’s privacy policy and applicable laws.

MEMBERSHIP BILLING, HOLDS & CANCELLATION POLICY
Memberships at Crucible Strength and Conditioning are billed weekly. Once a payment has been processed, it is non-refundable, even if I choose to cancel or stop attending before the end of the billing cycle. Two weeks’ written notice is required to cancel a membership.

All cancellations or holds must be submitted in writing. It is my responsibility to manage my membership status and billing schedule.

If I am part of a small group class and wish to retain my regular spot (e.g. a 5am timeslot) during a hold, I understand a 50% hold fee applies. If I choose not to pay the hold fee, Crucible cannot guarantee that my previous class spot — or any spot — will be available when I return.

PHOTOGRAPHY & VIDEO RELEASE (OPTIONAL)
I grant permission for Crucible Strength and Conditioning to use photos or video footage of me for promotional purposes.
Response:

GOVERNING LAW
This agreement shall be governed by the laws of Queensland, Australia. Any disputes shall be resolved exclusively within Queensland courts.

ACKNOWLEDGEMENT OF UNDERSTANDING
I have read this document in full. I understand it, and I voluntarily agree to all terms stated herein. I am aware that by signing this waiver, I am giving up certain legal rights, including the right to sue.

Signature: {signature}
Date: {date}
Parent/Guardian Signature (if under 18): {guardian_signature}
Date: {guardian_date}