Gym Member Registration

1. Personal Details

District *

Zone *

Full Name (Block Letters) *

Date of Birth *

Gender

Married / Unmarried

Religion

Nationality

Father's Name

Occupation of Father / Guardian

Your Occupation

Blood Group

Email ID *

Contact No *

WhatsApp No

Aadhaar No *

Home Address *

If admitted, I will reside

Physical Deficiencies / Disabilities (if any)

Government ID *

ID Type *

ID Number *

Profile Photo * (max 500KB, auto-resized)

2. Parent / Guardian

Required if the applicant is under 18. This is the undertaking section of the application form.

Guardian Name

Relationship to the Applicant

Guardian Occupation / Position

Guardian Age

Guardian Mobile No

Guardian Address

I certify that the applicant lives with me, and I am responsible for their healthy living, good conduct and regular payment of the Gymnasium dues. I consent to their membership.

Emergency Information *

Emergency Contact Name *

Relationship *

Emergency Mobile No *

Allergies (if any)

3. Health Declaration *

All statements must be confirmed to continue.

I do not have any contagious/infectious disease. I have no serious heart disease unless cleared by a physician. I do not suffer from uncontrolled high blood pressure. I have no severe respiratory illness. I am not recovering from major surgery (within the last 6 months) unless medically approved. I am physically capable of participating in fitness activities.

Medical History

Tick anything that applies to you. Leave all blank if none apply.

Other chronic medical conditions

4. Fitness Readiness (PAR-Q) *

Please answer every question honestly. Your answers do not stop your application.

Question	Yes	No
Has a doctor ever advised you not to exercise?
Do you experience chest pain during exercise?
Have you fainted or lost consciousness recently?
Do you suffer from dizziness?
Are you taking medication for heart disease or blood pressure?
Do you have any bone or joint problem that may worsen with exercise?

5. Physical Size on Date of Application

Height (cm) *

Body Weight (kg) *

Chest (in)

Arm (in)

Fore Arms (in)

Wrists (in)

Abdominal (in)

Thighs (in)

Cups (in)

BMI (auto-calculated)

Lifestyle Information

Smoking Habit

Alcohol Consumption

Daily Activity Level

Exercise Experience

Fitness Goals *

Select all that apply — at least one is required.

6. Document Uploads

JPG, PNG, WEBP or PDF. Government ID is required; the rest are optional.

Government ID (Aadhaar / DL / Passport) *

Medical Fitness Certificate

Student ID (for student plans)

Corporate ID (for corporate memberships)

Certified by Two Registered Members

Member 1 — Name

Member 1 — Mobile No

Member 2 — Name

Member 2 — Mobile No

Recommendation of Instructor

Gym Criteria

Tick all that apply. Your coordinator will verify these at approval.

Medical fitness certificate No steroid use Signed gym waiver

Membership Agreement *

I understand exercise involves inherent risks. I will follow all gym safety instructions. I will use equipment responsibly. I will immediately report any injury or discomfort. I release the gym from liability except in cases of negligence. I agree to the gym's rules and regulations.

Code of Conduct *

Respect trainers and members. Maintain hygiene. Wear appropriate workout attire. Use clean footwear. Avoid harassment or abusive behaviour. Not damage gym equipment. Follow gym timings and policies.

Final Declaration *

I declare that all information provided is true and accurate. I understand that providing false or misleading information may result in suspension or cancellation of my membership.