Online Credit Card Membership Application
   
Email: (Required)
Name:
Postal Address

Contact Ph: (Home)

Contact Ph: (Work)

Contact Ph: (Mobile)

Membership Number (if an existing member of Devine Fitness)
Date of Birth: dd/mm/yyyy

Membership
Full Member
Devine Light
Weekly meet, food diary (1 mth m/ship)
quantity $ 19.95 /wk pay by direct debit
Devine Woman Plus
(12 mth m/ship + group fitness classes)
quantity $ 19.95 /wk pay by direct debit
Devine Woman
(12 months)
quantity $ 15.95 /wk pay by direct debit
Devine Time
(<18 years)
quantity $ 12.00 /wk pay by direct debit
   
Comments or more information:

Please use all the gym equipment using the correct given instructions for safe use and technique for using the equipment. If in any doubt at any time, please ensure you ask a fitness consultant for assistance.

Infants and children may only be left in the creche area during supervised hours only.

A member must be over the age of 15 years to use the gym equipment unsupervised. A member under the age of 15 is permitted to use the gym facility however a parent/guardian must sign this membership application form and the member must be under the supervision of a fitness consultant at all times in the gym.

Members must wear suitable gym clothing and gym shoes at all times when in the gym. Devine Woman reserves the right not to permit a member to use the gym equipment without suitable clothing and footwear. This is a matter for safety and to avoid injury.

Devine Woman will allow a membership to be put on hold for a minimum of three weeks and a maximum period of twelve weeks.

Devine Woman will allow a membership to be transferred but not refunded. The transferee however must sign a membership application form to accept these terms and conditions of membmership.

Members must use a towel at all atimes.

At Devine Woman, we recommend that you should consult a physician before starting any exercise program. You should be in good health and physical condition and be able to participate in the exercise that we give to you.

Devine Woman is not a licensed medical provider and represents that it has no expertise in diagnosing, examining, or treating medical conditions of any kind, or in determining the effect of any specific exercise on a medical condition.

You should understand that when you are participating in any exercise or exercise program, there is the possibility of physical injury. If you engage in this exercise or exercise program, you agree that you do so at your own risk, are voluntairly participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Devine Woman from any and all claims or causes of action, known or unknown, arising out of Devine Woman negligence.

Please present your membership card upon arrival to the gym. If you do not have your card on you, please be prepared to present some form of identification if requested.

By submitting this form you agree and accept the above terms and conditions.

 

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Devine Fitness Ltd Trading as Devine Woman - PO Box 7177 - 40 Vanguard Street
Nelson - New Zealand - Tel: 539 0344
Email: info@devinewoman.co.nz

 

 

 

 

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