Adams Academy High Performance Membership

Sporting Organisation or Club

Athlete Name

NameLast Name

Coach or team manager name

Coach email and phone number

Name

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

Date of Birth*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Membership includes

Sports specific strength and conditioning programme

Free access to Mount Hot Pools, BayWave Pools, Greerton, Otumoetai and Memorial Pools.

Sport-specific speed and agility component if applicable

Performance testing with regular athlete profile reporting

Access to hot and cold recovery pools

Invitation to seminars on topics including: Strength and Conditioning/Sports Psychology/Nutrition/Injury Prevention/ Special requirements of Female Athletes

Access to athlete lounge complete with SKY Tv and fully equipped kitchen

Discount on physiotherapy treatments with Body In Motion High Performance Sport

*1x free full consultation with a registered nutritionist
*1x free consultation with a Sports Psychologist
*1x free VO2Max test or 1x free Lactate test or 1x free environment chamber session

* full membership members only, minimum 3 consecutive months paid prior to receiving free services.

Eligibility

Minimum age 15Member of a National Squad (open or age group) or;Regional rep (or equivalent) placed in top 10 nationallyEndorsement by sporting organisation required3 months minimum commitment

Please provide a summary of your most recent results at national or regional competition:

How did you hear about us?

Terms and Conditions

1. Cost for full membership: $35 per week paid fortnightly by Direct Debit (3 sessions per week). Reduced offer $25 (2 sessions per week)
2. Minimum 3 months commitment - on going after minimum term unless cancellation is requested in writing
3. Suspension available minimum 2 weeks and max 4 weeks within a 3 month block
4. Requests for suspension must be applied for 7 days in advance and will not be backdated
5. Application must be completed in full and criteria met
6. Hours of training limited to the Adams Academy timeslot (Monday to Friday from 4pm to 6pm)
7. Athletes are not permitted to use the gym outside of the Adams Academy High Performance Athlete membership hours
8. Athletes must adhere to UoW Adams Centre Health and Safety and Gym Use policies and procedures and must complete an induction prior to first training session
9. Individual athletes will have access to Athlete lounge and kitchen however full teams will be subject to availability and our kitchen use policy.
10. Athletes must meet the high performance criteria in order to be eligible for membership
11. Management reserve the right to decide whether the athlete meets the high performance criteria
12. Management reserve the right to terminate membership with immediate effect if athletes are not complying with our code of conduct

I have read, understood, and agree to the Terms and Conditions set out on this application form.

Name

First NameLast Name

Todays Date

Date

Membership Form

Personal Details

Membership Details