Membership Number
Membership Terms 1 Week2 Weeks1 Month3/6 Months
Full Name (as in NRIC) – Mr /Ms /Mrs /Mdm /Dr
Martial Status SingleMarried
Gender FemaleMale
D.O.B (dd/mm/yyyy)
Last 4 digit of NRIC
Address
Mobile Number
Email Address
Declaration I, the undersigned, declare that the information provided above are true. By submitting the above information, I give Trilogic Fitness the right to retain and use the provided for the purpose of membership and facility related purpose; this includes updating me Trilogic Fitness relates activity through email. I also understand I can opt out from Trilogic Fitness contact list by emailing info@trilogicfitness.com.
I, undersigned agree to abide by the Terms and Condition (Refer to Annex A) governing the use of facility and membership terms within TRILOGIC FITNESS as are in force. I will agree to pay all charges payable and to pay my monthly account within the first 7 days of the month and upon presentation of all charges incurred as a result of the use of my membership card. I fully understand and agree that all memberships are non-transferrable, and payments made are non-refundable. I, the undersigned, acknowledge that the use of premise, equipment managed by TRILOGIC FITNESS is my voluntary agreement subjected to my agreement and that the use of equipment and facilities and participation in the activities is voluntary in all respects. I understand there is inherent risk, and assume all risk of injuries associated with participation including, but no limited to, falls, contact with other participants, the effect of the weather, including high heat and/or humidity, and all other such risk being known and appreciated by me. On behalf of myself, personal representatives, heirs, executors, administrators and assignees do hereby fully release and discharge TRILOGIC FITNESS and it’s officers, agents, management, employees, staff, directors, sponsors, and affiliated entities (collectively the “Released Parties”) from any and all liability, claims, demands and causes of actions arising from injury or illness, including death damages or loss which I may have or which accrue to me on account of using the TRILOGIC FITNESS equipment and facilities and participating in the gym’s activities. This is a complete and irrevocable release and waiver of liability. I covenant not to sue the Release Parties for all alleged liabilities, claims, or causes of action. I also understand that I shall not claim whatsoever against the Management of TRILOGIC FITNESS for any embarrassment, damage or loss whatsoever that I may suffer arising from any enforcement by TRILOGIC FITNESS Management, whether wrongful or not, of the Terms and Conditions of TRILOGIC FITNESS. By my signature, I indicate I have read and understand this Consent and Liability terms stated, and I voluntarily agree to the terms and content stated on this form.
