S.S.C. GYM LTD – PAR Q QUESTIONNAIRE

Personal Information

Emergency Contact:


Emergency Contact No:

Health Questionaire

1. Have you ever been diagnosed with a heart related condition i.e heart disease, angina,
Stroke etc or do you experience chest pains when exerting yourself?

Yes No

2. Have you recently undergone major surgery?

Yes No

3. Do you have any blood pressure problems? if Yes, is the problem controlled by medication?

Yes No

4. Do you have any injuries or joint problems?

Yes No

5. Do you have asthma, epilepsy or fits diabetes, migraines? If yes please specify

Yes No

6. Have you any reason to believe you may be pregnant?
If you pre or post natal do/did you have any complications?

Yes No

7. Do you have skin allergies?

Yes No

8. Are you currently taking any medicines? ( Tranquillisers / Anti biotics / Anti Tubercular drugs / Anti fungal agents / Anti depressants etc.)

Yes No

9. Do you have any special needs that may require the assistance of a staff member of carer?

Yes No

IMPORTANT If there are any other issues with your health that have not been mentioned above, please give details below:

PRE-ACTIVITY AGREEMENT

Please not it is the member’s responsibility to consult their physician prior to commencing an exercise programme. If you are unsure how to use any equipment please consult a member of gym staff.

DR Consent Required Y/N

Yes No

I understand that it is my responsibility to inform S.S.C GYM Ltd of any changes to the details on this form or my health in general. I acknowledge there are risks and dangers inherent in physical exercise equipment and undertake the activity at my own risk. Any liability on the part of the operator is excluded unless negligence can be proven. I agree to observe club rules.

Full name:

Date:

Staying COVID-19 Secure in 2020

We confirm we have complied with the government’s
guidance on managing the risk of COVID-19

SEVEN STEPS TO SAFER
GYM ENVIRONMENT

• We have carried out a COVID-19 risk assessment and shared the
  results to all members that attend the facilities
  
  
  
• We have cleaning, hand washing and hygiene procedures in line with
  guidance that members must follow when using the facilities
  
  
  
• You must sign in and have your temperature taken each time when
  entering help members feel safer whilst using the facilities
  
  
  
• As a member you must take reasonable steps to ensure you maintain
  a 2m distance within the facility
  
  
  
• Where you cannot be 2m apart, you must do everything practical to manage
  transmission risk
  You must ensure you wipe down equipment touch points after use and
  follow any safety instructions given by staff
  If you are unwell and show any signs of CORONAVIRUS symptoms you must
  not enter the facilities and contact 111 for advice

 

Member:

Date:

I have read and agree to the the SSC Gym Covid policy

Who to contact: DAVID SEDDON
(or the Health and Safety Executive at www.hse.gov.uk or 0300 003 1647)

 

SSC GYM LTD Operational COVID-19 Members/Visitors Acceptance Protocols
Issue Date:
To protect the health of others, please complete the details in the form below. You will not be permitted to enter SSC GYM facilities unless the pre-screening assessment has been completed. This information is necessary to prevent the spread of disease, all the information collected will be kept confidential. Please be aware that there are still risks due to the nature of the Coronavirus and how it can be contracted and that you accept these risks when entering SSC Gym facility. Any false information given on this document could result in legal action being taken.
Full Name: Location: SSC GYM LTD, 3rd Floor Victoria Mill, Bolton Old Road, M46 9JQ Please put a check as appropriate to the following questions: In the last 14 days have you returned from or been in contact with someone who has returned from Restricted Areas for return travelers as defined: https://www.gov.uk/guidance/coronavirus-covid-19-information-for-the-public#returning- travellers? Yes No Have you or anyone in your household had a high temperature (this means you feel hot to touch on your chest or back (you do not need to measure your temperature) in the last 14 days Yes No Have you or anyone in your household had a new, continuous cough (this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours) in the last 14 days Yes No If you have answered YES to the above then you will not be able to enter SSC GYM facility please do not travel to any other sites / Locations and call your family doctor or public health to explain your case, symptoms if any, travel or contact history and ask for next steps If you have answered YES to any of the above questions then you must isolate for 14 days before being permitted to use the gym.
Member/Visitor name: Approved to enter: !!!WARNING!!! Any Member/Visitor showing any signs of fever or respiratory illness such as a cough or shortness of breath will not be allowed to enter SSC GYM and is advised to seek appropriate medical care.

INDUCTION TRAINING WAIVER

SSC Gym recognises the importance of every new member undergoing our
induction training. This is carefully designed to ensure that the individual is
made aware of the facilities and equipment on offer and in particular is given
advice in the safe use of our facilities and equipment.

We strongly recommend each new member to undergo our induction training.
It is hereby noted that notwithstanding our clear advice, you have stated that
you are an experienced gym user and have expressed your unwillingness to
undertake induction training.

In these circumstances SSC GYM will allow you to use the facilities, provided
that you seek advice from a member of staff if you are in any way unfamiliar
with a particular piece of equipment or type of exercise.

It is therefore formally noted that you have opted out of induction training and
will undertake to consult staff on an ongoing basis in relation to the safe use
of our facilities and equipment.

Member Name:

Date:

Would you like to complete an induction
Yes No

S.S.C. GYM LTD

GYM MEMBERSHIP RULES

S.S.C. Gym Ltd maintains and enforces Membership Rules to make sure that using our gym is as safe and enjoyable an experience as we can make it for all of our Members.

S.S.C. Gym Ltd reserve the right to terminate your Membership immediately if you do not abide by these Membership Rules and we hope that you understand the reason for this and respect the rules.

As a Member of S.S.C. Gym Ltd you agree that you will:

• SIGN IN at reception every time you enter or exit the gym facilities .
• Attend an induction if you have not signed the waiver form 
• Complete a health and safety Par Q form before using the facilities.
• Strongly consider attending a gym induction, particularly if you are a first-time gym user, before using the gym for the first time as you are then more likely to achieve your goals (inductions can be booked in at reception).
• Carry and use a sweat towel to wipe down equipment after you have used it.
• Not take photographs or videos on the premises or post remarks or imagery to the internet that could identify another Member without consent.
• Replace equipment back in the correct area or onto the racks after you have finished with it.
• Any belongings that are left are your own responsibility and S.S.C. Gym will not be liable if they are damaged or taken by someone else.
• Wear suitable clothing and footwear when exercising (denim, bare feet, flip-flops, boots or a bare torso is amongst the range of clothing choices that are unsuitable).
• Use the gym facilities and equipment in a proper manner and not in a way that might cause harm to yourself or others (just ask a member of staff if you are unsure).
• Not engage in any exercise activity that may be potentially harmful to you or others (this includes contact sports such as martial arts and boxing unless this is with one of our Personal Trainers).
• Not use, block or interfere with fire, emergency or disabled access doors or alarms (except in a genuine emergency).
• Not behave in an aggressive, abusive, intimidating, anti-social or threatening manner or in a way that might cause distress to staff or Members.
• Not conduct any Personal Training business with other Members.
• Come and go quietly so as not to disturb our neighbours.
• Use any parking facilities provided in accordance with the rules that the parking provider posts and may change from time to time.
• Not park your bicycle in an unsafe or inappropriate location.
• Put your litter in one of the bins we provide.
• Not enter our premises whilst intoxicated.
• Not engage in any type of criminal behaviour whilst on our premises.
• Not cause damage to the premises, our or another Members property.
• Not force entry to locked doors.
• Not eat on the gym floor.

Member Name:

Date:

I have understood and agree to the gym membership rules

S.S.C. GYM LTD

Membership Agreement

This is an Agreement between you, the Member, and S.S.C. Gym Ltd, a company registered in England And Wales (registration number 10376719), whose registered office is at 3rd floor, Victoria Mill, Bolton Old Road, Atherton, M46 9JQ (“us” or “we”).

Our joining process is a web based or face to face process. Full membership prices and options can be found on our website or at the gym reception to be selected by you as part of the joining process at www.sscgym.co.uk  by following the joining process at our website to become a Member at a S.S.C. Gym Ltd you are accepting all the terms and conditions in this Membership Agreement. You should only join if you have read them and accept them.

Our standard membership terms are set out below. Membership is subject to different membership fees and cancellation rights and such other variations that appear under the relevant membership sections below.

Definitions: 

Gym Membership Rules: The Rules governing your conduct as set out on our website and Glofox membership system.

Membership payment methods:  Monthly/Annually – Cash/Card Payment

Re-Occurring payments are taken from your card and not by direct debit, to ensure that payments are kept up with, you can only cancel this payment by emailing [email protected] or speaking to a member of the management team at S.S.C. Gym Ltd, who will discuss the terms of you rights to cancel and any outstanding payments will be taken in to consideration when cancelling membership with S.S.C. Gym Ltd.

A cancellation form will need to be completed before any terms are agreed in order to cancel your membership 

Annual Fee: The amount notified to you as part of the website joining process as a annual fee payable for membership at SSC GYM LTD on an annual basis. This fee give you the customer various discounts within SSC Gym Ltd.

Annual Membership: Membership is paid upfront for 12 months

Monthly Membership Amount: The amount you agree to pay out on a monthly basis for a standard membership

Membership Amount: The amount you agree to pay for the full term of your membership

Administration fee: Our fees for changing membership terms or arising out of any breach of the terms as set out in the Members Area of our website. Personal Training Sessions booked by you directly with a freelance trainer which do not form part of this agreement and are not provided by S.S.C. Gym Ltd and are subject to a separate agreement between you and the individual.

Massage Therapy: Services provided directly to you, which do not form part of this membership and are subject to a separate agreement between you and the therapist.

Sports Therapy:   Services provided directly to you, which do not form part of this membership and are subject to a separate agreement between you and the therapist.

Membership – Your rights 

1. This Membership Agreement starts once you have accepted the terms during the joining process. By accepting the terms you are agreeing to pay any applicable Joining/Annual Fee, Administration Fee and Monthly Membership Amount. These are shown at the start of the joining process and also before you confirm your payment instruction.
2. You may choose during the joining process to start your membership either immediately or one month from the date that you accept the terms. We may inform you during the joining process that a waiting list is in operation in which case your Membership starts when we inform you by email.
3. You are entitled to access and to use the gym defined by your Membership provided you continue to pay your Membership Amount whether this be annually, monthly, weekly or daily. However we reserve the right to change the access privileges of members. We will make reasonable endeavours to communicate to you in advance if we are unable to make available to you the rights and privileges of Membership. You have the right to cancel this Agreement within 14 days from the start of the Agreement without giving any reason but you must let us know you wish to do so within the 14 day period. You may contact us through the member’s area. Using the email that you used during the joining process or you may use the attached cancellation form at https://www.sscgym.co.uk/documents/cancellation-form.pdf but it is not obligatory. 
4. The cancellation period will expire after 14 days from the day you accept the terms. To meet the cancellation deadline, it is sufficient if you send your communication concerning your exercise of the right to cancel before the cancellation period has expired.
5. In case of dispute you must show that you cancelled the Agreement in accordance with the cancellation terms.
6. If you cancel your Membership within the 14 day period we will refund to you the joining/annual Fee and Membership Amount you have paid not later than 14 days after the day on which we are informed about your decision to cancel using the same means of payment as you used for the initial transaction.
7. If you have requested an immediate membership start date and you cancel your Membership, proportionate charges will be due. We will refund to you any Annual Fee and Membership Amount you have paid us but the Membership Amount will be reduced by the higher of (a) the one-day pass rate and (b) an amount in proportion to the number of days between the start of your Membership and the date you communicated to us that you wanted to cancel.
8. After the 14 day cancellation period you may terminate your Membership at any time by giving 30 days notice period and completing a cancellation form, you MUST not cancel any Card Payments until the final amount has been agreed or this will result in you breaching the terms and condition of this agreement. Your Membership will be cancelled once any outstanding payments are agreed with immediate effect and any outstanding Payments within your membership agreement taken from your card immediately.
9. You may opt out of email and SMS communications that we may send but if you do we cannot be held responsible for any loss incurred by you not receiving gym-related communications.
10. You may complain to us by emailing [email protected] from or quoting the email address that we hold for you 

Membership - Your Obligations

1.  You agree to pay us any applicable Annual Fee and Administration Fee on the date shown at the end of the joining process (and which was also sent to you by email).
2. You agree to pay us the Membership Amount by direct card payment whether or not there is any temporary interruption in services during the period whether foreseen or unforeseen. We will close the gym on at least 4 days a year for necessary maintenance or other work. We will endeavour to reopen facilities as soon as is reasonably possible in these circumstances.
3. Your first Monthly Membership payment is due on the date shown at the end of the joining process (and which was also sent to you by email).
4. You agree to maintain a payment instruction with your bank card for the Monthly, Annual Membership Amount.
5. Subsequent Monthly/Annual Membership payments are due on the same day of subsequent month/Year.
6. If any payment due from you is returned unpaid or not honoured you will pay us on demand an administration fee of £12.00
7. Direct Card payments can only be cancelled by S.S.C Gym Management as this is a secure transaction unlike Bank Direct Debits, If you (The Member cancels the card in order to cancel payments you have agreed to, any outstanding payments from 12 month or 30 day rolling membership contracts will be calculated and communicated by email/post/txt and must be paid with immediate effect with any additional administration fees applying. In the event that any outstanding balances are not paid, these will be subject to the debt being passed over to a debt collecting agency for collection which will could incur further costs to YOU the member   
8. You agree to comply with the Gym Membership Rules which are available at https://www.sscgym.co.uk/gym-rules
9. You confirm that you are at least 16 years old to enable you to train on your own within the gym environment.
10. You consent to, and waive any and all claims in respect of, your image being recorded by 24 hour CCTV for security purposes and reviewed at our discretion by our employees and contractors.
11. You must use the gym facilities and equipment in the proper manner and you must consult a member of staff if you are unsure.
12. You will be liable for any damage caused to our equipment or facilities through your negligent use.
13. You consent to incidental inclusion in marketing photographs of our premises that we may take from time to time.
14. You agree that you have understood our privacy policy which is available at https://www.sscgym.co.uk/documents/privacypolicy.pdf
15. You agree to tell us immediately of any changes to your personal details including contact information.

Membership - Our Obligations

1. We reserve the right to change the access privileges of members with membership packages. This includes access to the gym and PT staff for general advice. We will make reasonable endeavours to communicate to you in advance if we are unable to make available to you the rights and privileges of Membership. 
2. We will endeavour to reopen the facilities as soon as is reasonably possible in circumstances where we are required to close or restrict facilities for any reason.
3. We will securely store recorded CCTV footage in accordance with our privacy policy which is available at https://www.sscgym.co.uk/documents/privacypolicy.pdf 

Standard Memberships - Our Rights

1. We will terminate this Agreement and your Membership with immediate effect if you do not pay any applicable Joining Fee and Admin Fee, or Monthly/Annual Membership Amount when it falls due.
2. We may terminate this Agreement and cancel your Membership with immediate effect on notice to you if you breach any of the Gym Membership Rules available at https://www.sscgym.co.uk/my-account/gym-rules/ in this event you will no longer be able to access any of our facilities and we will not give any refund.
3. If we do not terminate your Membership if you breach any of the Gym Membership Rules, or if we give you extra time to pay if you do not pay your Joining Fee, Admin Fee or Monthly Membership Amount when it falls due, we may subsequently enforce the terms of this Agreement.
4. We may communicate gym and fitness related information to you by email or SMS.
5. We may assign the benefit of this Agreement and our rights to a third party provided we give you notice and your rights under this Agreement will not be prejudiced.
6. S.S.C. Gym Ltd, its agents, employees and subcontractors are not liable for any loss, damage or theft of any of your property that you bring onto any of our premises. If such loss, damage or theft is caused by the negligent acts or omissions of S.S.C. Gym Ltd or its agents, employees or subcontractors, our liability is limited.
7. We may close our premises with reasonable notice and at our discretion for reasonable periods of time to carry out maintenance, repairs, refurbishment or cleaning or for other reasons outside of our control. We will not be responsible to you for not being able to access our facilities in these circumstances.
8. We are not liable for any injury you suffer through the incorrect use of our equipment of facilities.
9. We may make reasonable changes to Membership Rules and to the Membership Agreement terms and conditions and Gym Membership rules at any time.
10. We will send to you email confirmation of these terms using the email address you used when you joined

Other Clauses

1. Only you, the person named in the joining process, can benefit from this Agreement.
2. If any of the terms of this Agreement are invalid, unenforceable or illegal the remaining terms can still be enforced.
3. This Agreement is governed by the law of England and Wales.
4. You should print a copy of this Agreement for future reference.

Additional Services

1. Personal Training Sessions and “additional services” do not form part of this Agreement and are not provided by The Gym Limited.
2. Any “additional services” (including, for example, Personal Training Sessions, Sports Therapy and Massage Therapy) which you contract for or agree to pay for, do not form part of your Membership Agreement and the Terms & Conditions of this Agreement will not apply to them. You should be aware that if you enter into any agreement for “additional services”, you are entering into an agreement with those individuals and not with us.
3. We do not accept any liability for any losses, damage, personal injury or other loss caused by any negligent act or omission of those providing the “additional services” which are specifically excluded from the Membership Agreement and We do not accept any responsibility for the same save where precluded by law.
4. We may provide induction services or personal reviews of your training needs which services are provided without additional charge. Those services are part of your Membership Agreement and nothing herein restricts the liability that we may have under your Membership Agreement for such services.

Member Satisfaction Surveys

1. We may choose to send an email from time to time to a randomly selected group of their members at one or more gyms inviting them to participate in a survey of satisfaction.
2. At our discretion member satisfaction survey participation may be associated with a prize draw offering cash prizes of varying amounts to participants.
3. Members that respond to an email advertising a prize draw by visiting the website and completing the satisfaction survey by the advertised closing date will be entered into the draw.
4. Participants will only be entered into a draw once per draw.
5. One winner will be chosen at random from all entrants to that draw within 90 days of the closing date.
6. Winners will be contacted after the prize is drawn to arrange payment of the cash prize.