Participant Form

Before Your First Class

Your wellbeing and safety are my priority. Before attending your first class, please complete this short pre-screen and consent form so I can understand your needs and ensure exercises are tailored appropriately to support your health, strength and confidence.

Kelly McCormack
p: 021 226 6834
e: info@thekellyfit.com

Full Name

Email

Phone Number

Class Location

Have you been cleared by a medical professional to participate in Strength & Balance classes and/or Aqua Aerobics classes?

I consent to photos and/or videos of me being taken during classes and used by The Kelly Fit for website and social media purposes.

I would like to receive class updates and information (optional):

Participant Acknowledgement & Disclaimer - I understand that participation in exercise involves some risk. I confirm that I have been medically cleared to take part and that I participate voluntarily. I agree to exercise within my own limits, follow instructor guidance, and inform the instructor of any changes to my health that may affect my ability to exercise safely.

Type Your Full Name as Your Signature

Date

Address

Message Sent. I will be in touch to confirm your class details.

Try your first class FREE, no pressure. Just come along and see how it feels.

View Class Schedule & Prices

Testimonials

"I joined Kelly's class a couple of years ago. I had not done anything like this before. I was having a lot of falls due to balance and needed to improve on that. Kelly's classes are friendly and there is a lot of fun and laughter. Kelly is very supportive, encouraging and doesn't push you to do any exercise if you have a sore limb. My balance is much improved and I would highly recommend Kelly's classes."

- Jacque Kilpatrick

Contact

Kelly McCormack

Phone: 021 226 6834

Email: info@thekellyfit.com

Location: Auckland,
New Zealand

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