top of page

REGISTRATION-

KICKSTART YOUR NEW YEAR

REGISTRATION

Please choose your session times:
Do you have any known medical injuries or illnesses that will affect your training in any way?
How did you hear about the Mini Group PT

CONSENT
& Terms and conditions:


PLEASE READ


* I understand that I am joining Little Miss Muscles KICK START YOUR NEW YEAR January 8th - 26th 2024

* Once deposit is received, I agree to complete the EziDebit form to pay for all sessions that I am registering for.

* I understand that my money and deposit will not be refunded if I choose to not attend as I am taking up a spot that someone else could have benefited from.

* I understand that Leah Celentano trading as Little Miss Muscles will not refund my money unless the minimum number of participants hasn’t been reached. (4 participants).

* I understand that Little Miss Muscles recommends me to see a doctor prior to commencing, to clear me fit for starting a new workout program.

* I understand that I am required to complete the Pre-exercise Screening Form prior to commencement of training with Little Miss Muscles, and if I answer YES to any of Page 1, I am required to get a medical clearance from a GP before starting.​

* I understand that Leah Celentano trading as Little Miss Muscles will not reimburse any money for any session missed or skipped on behalf of the client. ​​

* I recognize that Leah Celentano trading as Little Miss Muscles is not able to provide me with medical advice with regard to my medical fitness and that this information is used as a guideline to the limitations of my ability to exercise.

* In case of emergency, I authorise Leah Celentano trading as Little Miss Muscles- to contact the nearest doctor/hospital/ambulance and organise any medical attention on my behalf. I accept responsibility for any costs incurred and release Leah Celentano trading as Little Miss Muscles from any liability for injury incurred during the exercise program.

* I take full responsibility for the personal belongings I bring into Little Miss Muscles session at the location of the exercise (whether in the home garage or the public park) and if belongings are lost or damaged, Leah Celentano trading as Little Miss Muscles will not be held responsible and will not be responsible to pay back possessions lost.

* I expressly waive, release, discharge and agree not to sue Leah Celentano trading as Little Miss Muscles from any liability of death, disability, personal injury, or action of any kind, its instructors, officers, affiliates, and executors for participating in the exercises.

* I give my permission for Leah Celentano trading as Little Miss Muscles to use photos and videos taken of me while undertaking fitness training. These images may be used on all social media sites, such as but not limited to Facebook, Instagram and for promotion of Little Miss Muscles. Promotion of the companies will include websites, publications and any media coverage.

* I agree to not attend the sessions if I have cold or flu symptoms.​​

COVID 19:
* In the case of a state lockdown, I agree to continue sessions with Leah Celentano trading as Little Miss Muscles via zoom online.​

* In the event that I am deemed a close contact and have to isolate, I understand that I am still bound to this agreement and the EziDebit contract and will not have any sessions that I do not attend refunded.

* In the event that I contract Covid-19 & have to isolate, I understand that I am still bound to this agreement and the EziDebit contract and will not have any sessions that I have not attended refunded.

* I understand that if I miss 1 week due to contracting Covid-19, I can do a make-up session at another group / week that is available. 

​​By signing this form I acknowledge all of the above and agree to the terms and conditions.

Your form has been received.

bottom of page