ORIENTATION FORM This form confirms that you’ve done a Jetts orientation Member Name * First Name Last Name Email Address * Phone Number * Confirmation I confirm that I have satisfactorily completed the Jetts Clapham Road Club Orientation and understand my obligations as a member. I am competent in all aspects of the Club, including but not limited to the following: Correct usage and locations of emergency devices including duress buttons, Red Phone and defibrillator Aware of emergency evacuation exits, first aid procedures and equipment Use of treadmill safety key and ensure treadmill us switched off and the belt has stopped running prior to stepping off I am aware of the club access pass procedure and details around staffed hours Appropriate footwear and clothing to be worn at all times in the Club Follow the correct hygiene measures Correct storage and placement of equipment after use How lockers work with access card and the usage policy No member is permitted to bring a non-member into the club. Breaching this constitutes automatic acceptance by the member of a new membership for the non member. The Club Access card fee, in addition to the direct debit membership fee, will be charged to the member I understand the cancellation requirements, written notification required and the notice period I understand that other Jetts club may have different layouts and equipment. I should seek advice from a qualified member of staff before using any new equipment if needed I am confident in using the equipment at this gym and do so at my own risk. I will request an additional equipment induction should I need further assistance Kickstart PT Session Please tick YES if you would like to be booked in for a complimentary kickstart PT session YES NO If you already know which trainer you would like select below: Silvia Phillip Chelsea I don't mind Orientation Acknowledgement Special Conditions: Having informed the Club of an impairment or condition that may impact upon my use of the Club, I acknowledge having completed an additional orientation that addresses my specific circumstances. In addition to the above acknowledgements I agree to, at all times whilst at the Club, comply with the following additional requirements: Member Signature:I acknowledge that I am confident to exercise during all hours (staffed and unstaffed) and will do so with an understanding of the above. I understand that I use all of the equipment in the club at my own risk. Prior to using an item I should seek advice from a qualified Personal Trainer if needed. * Please print your name to sign this form Parent/ Guardian Signature (if applicable) Please print your name to sign this form Date * MM DD YYYY Thank you! One of the Jetts Clapham Road team will give you a call shortly to book in your trial. Please expect a phone call from 01300 24 24 24. Jetts 24 Hour Fitness: 330 Clapham Road, Stockwell, London, SW9 9AP