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OUTSIDE TRAINERS

Trainer: Mobile:
Email:
Endorsing Member:
Other Clients:

Please carefully read the following statements. You must agree with them in order to be allowed
to provide your services in the gym as a 3rd party service provider/unaccreditted trainer.

1. I have performed necessary screening to ensure my client’s health and safety


2. I am aware of my client’s past medical and physical activity history, especially the physio-
logical systems involved with exercise and physical activity
3. I am duly trained and qualified to provide the care required by my client
4. I will observe professionalism and courtesy to all City Club staff and members
5. I will observe cleanliness and orderliness in all that I do within The City Club premises
6. I will follow all the rules, regulations and policies enforced by The City Club
7. I assume responsibility for my client’s safety with regard to all aspects of the service that I
provide.
8. I accept liability for damage to property as a result of deliberate neglect and failure to ob-
serve propriety and safety measures.
9. I promise to clean up after myself and my client, and return all equipment utilized to their
designated areas.
10. I promise to be considerate of other members and guests using the facilities and equipment.

Please be advised that you are required to register with the gym service assistant as you come in.

By affixing your signature below, you acknowledge that you have read, understood, and agree to
comply with all the aforementioned statements. Violations thereof will be met with sanctions as
determined by The City Club management. Violations and complaints from other members and
guests will be taken seriously and may result in the following sanctions:

1. Verbal warning
2. Written warning
3. Exponential doubling of guest trainer fee (250, 500, 1000)

Printed name and signature:


Date signed:

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