Your Full Name *Phone Number *Email Address *Child's DOB *Child's Full Name *Does your child have any medical condition(s) that may make it dangerous for them to participate in physical activity/exercise? *Please select an optionYesNoIf Yes Please Specify Below; GDPR *I give permission for my child to participate in activity's within the West Gate Health Club Premises. I acknowledge during activity an accident may occur resulting in injury or damage. Signing this form I indemnify West Gate Health Club and its staff from all legal actions, injury claims, damage, penalties and loss or costs associated from my child's participation or activity within the Westgate Health Club Premises. I Agree to the Above Terms and ConditionsSignature * Send Message
