Full Name * Email * Mobile Number * Gender * Which ZUU Camp will we see You at? * Saturday 5th October 7:30AM Saturday 12th October 7:30AM Saturday 19th October 7:30AM Saturday 26th October 7:30AM Saturday 2nd November 7:30AM Saturday 9th November 7:30AM Saturday 16th November 7:30AM Saturday 23rd November 7:30AM Saturday 30th November 7:30AM Saturday 7th December 7:30AM Saturday 14th December 7:30AM Saturday 21st December 7:30AM
Empire's monthly ZUU Camps are held at the Killara Adventure Park on Buttata Street, off Killara Boulevard in Logan Reserve. (See below map for details)
Occupation * How often do You currently exercise? * What type of training do you currently do? (e.g. running, yoga, weights etc) * From 1-10, how would you rate your current activity level (1 being not active at all, 10 being extremely active) * What is Your main reason for wanting to attend Empire's Free Community ZUU Camp? * For Fitness Be a part of my Community For Pain Relief For Fun How did You hear about Empire's Free Active8 ZUU Bootcamp? * Empire's Facebook Page A Friend or Family Invited Empire's Website Other Killara Resident Villa World Marketing Do You currently have any injuries or medical conditions Your Empire Coaches need to be aware of? * If Yes, please provide details: *
If not applicable, please type "NA"
Do you currently suffer from Back/Knee/Shoulder/Joint Pain? * Are you currently pregnant? *
(ticking yes to this question confirms you have doctor's permission to undertake the ZUU Camp)
Will there by any minors attending the ZUU Camp with you? * Please list their Full Names and Ages here
Participation & Indemnity *
I warrant to The Empire Bodyshop that all information I have provided on this form is of a true and correct nature.
I accept that I will not have any claim of any nature against The Empire Bodyshop for any illness, injury or adverse change in medical condition or state of health arising directly or indirectly from any program or advice provided by or carried out preparatory to or as part of any program I undertake whilst under the supervision or instruction of The Empire Bodyshop. Any rights granted to me by law which are not capable of change by agreement remained unaffected by the terms of this agreement.
Any injury I may incur will be reported to a member of The Empire Bodyshop Team immediately for escalation to the Lead Coach so a determination can be made as to my ability to complete the bootcamp or not and I agree to adhere to the Trainers decision in this matter.
I consent to the release and publishing of my image or video footage containing my participation with The Empire Bodyshop’s Coaches & Crew on public domains including social media, newsletter publications, website and email communications.