12 Week Challenge Platinum Registration Form


  • Personal Details:

  • (We send out a monthly newsletter that include a profile of the month, pats on the back from our coaches to members, up and coming events, hints and tips and much more.)
  • Health Evaluation:

  • (Includes contraceptive pill)
  • (Please select everything applicable by holding down the ctrl key as you select)
  • (Please be as specific as possible, including if it is the left or right side etc. If you selected 'Other', please provide details) NB: You may be required to provide medical clearance prior to commencing training, depending on your medical history and/or injuries
  • (Please be as specific as possible: What do you want to achieve? By when? Why is this important to you?)
  • (Your friend will qualify for a 10% discount as a referral thank you.)
  • Declaration:

  • I declare that all information is true and correct.
  • Package Selection

  • NB: Direct Debit commences on the Wednesday in the week prior to the commencement of the 12 Week Challenge
  • Class Selection

  • (Please select a maximum of THREE classes as your designated classes for the 12 weeks. Having the same set classes each week helps you get to know your team members and be there for each other for support throughout the 12 weeks. Once we commence the challenge you will then be able to add yourself into any other classes, ad hoc, subject to availability. There is no limit to the number of classes you can attend per week. By pre-selecting your desired classes you secure a permanent spot in those classes, rather than waiting for availability.) NB: If you are unable to attend your class on any given day you can reschedule it for any other class throughout the week.
  • Terms & Conditions

  • Terms & Conditions (click to read)