registration form

REGISTRATION FORM

Full Name *

Email *

Phone *

Date of birth *

Address *

Street Address

City

State

Country

Postal Code

Emergency Contact (Include Name, Email, Phone) *

Emergency Contact Relationship *

What type of training are you interested in. Rank from 1-15 below.

Boxing *

Boxing Circuit *

Kickboxing *

Muay Thai *

Kids Classes *

Personal Training *

Leg Workout *

AbClass *

Back Care *

Weight Loss *

Pre/Post Natal *

Body Sculturing *

Competition *

BJJ *

MMA *

Other Training Interest *

How many time will you be training weekly *

Do you have any injuries or medical conditions *

Yes

None

If, YES please verify *

Yes

What results would you like to achieve from your training *

How soon do you want to achieve this *

I acknowledge that participation in any martial art or training program is potentially dangerous activity. I acknowledge that at all times whilst on the premises, both myself and my personal belongings shall be at my own risk and I (nor relative) will not hold DRAGON HEALTH AND FITNESS or it’s instructors liable for any personal injury, ailment, loss of property or life, whether caused by negligence of the Centre, its agents, members or by use of training equipment or facilities. I acknowledge that all financial arrangements must be finalized prior to training. I warrant that I am physically and medically sound to proceed with a normal course of exercise. Membership not transferrable. 12months minimum. No refunds.

Signature Of Applicant Or Guardian *

Clear

Price List

6 MONTHS

Registration Fee $69

Call Us Now for Membership Specials

($49.00/WEEK)

✅ CLASSES ✅ DIRECT DEBIT

✅ GYM ✅ SAUNA

CASUAL VISIT

NO Registration Fee

$30.00(SINGLE)

1 YEAR

Registration Fee $69

Call Us Now for Membership Specials

(CALL US FOR WEEKLY RATE)

✅ CLASSES ✅ DIRECT DEBIT

✅ GYM ✅ SAUNA

7 DAYS TRAINING

NO Registration Fee

$69.00

*CANCELLATION-24hr notification is required for cancellation. If CLASS cannot be made up during that week CLASS/CLASSES will be charged.

About Us

At DRAGON HEALTH & FITNESS we have classes for Fitness, Women’s self- defense, kids fitness & self defense, Business & Corporate groups, weightloss and Fighters from amature to Professional.

Quick Access

Quick Access

Phone: +61485004946

Email: [email protected]

Address: 4/30 Leeds St, Footscray VIC 3011, Australia