JotForm

Sporting Organisation or Club

Team Name/Squad

Name Age group

Coach or team manager name

Coach email and phone number

Name

First Name Last Name

E-mail *

Phone Number *

- Area Code Phone Number

Date of Birth *

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Membership includes

STRENGTH AND CONDITIONING

Sport specific Strength and Conditioning programme
Sport specific Speed and Agility component if applicable
6 to 8 week programme review
S&C supervision at each session

SPORT SPECIFIC PERFORMANCE TESTING

Initial fitness assessment and re testing every 8 weeks including:

Fitness testing if applicable every 8 weeks
Speed testing (acceleration and maximum speed)
Power testing (upper and lower body)
Strength testing (upper and lower body)
Comprehensive High Performance Athlete profile report

HIGH PERFORMANCE GYM
Use of the 650 m² Olympic-quality gym which includes:

8 heavy weight stations
6 Concept 2 Rowing Machines
6 WATT bikes with large video screen
3 Treadmills
3 x 35 metre turf track

ACCESS TO ADAMS CENTRE FACILITIES

Fully equipped kitchen and Athletes lounge including Sky TV
Recovery Pools

BODY IN MOTION SPORTS MEDICINE
20% discount on physiotherapy treatment consults

Invitation to high performance seminars on topics including:

Physiology
Specific requirements of female athletes
Strength conditioning, recovery
Sports psychology
Nutrition and injury prevention

Eligibility

Minimum age 15 National Squad (open or age group) Regional rep (or equivalent) and placed top 10 nationally in age group Endorsement by sporting organisation required 3 months minimum commitment

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

Terms and Conditions

1. Cost $35 per week paid fortnightly by Direct Debit
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. Membership entitles each athlete to 3 sessions per week and bookings via the app are essential
8. Athletes are not permitted to use the gym outside of the Adams Academy High Performance Athlete membership hours
9. 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
10. Individual athletes will have access to Athlete lounge and kitchen however feeding teams as a group will be subject to availability and our kitchen use policy.
11. Athletes must meet the high performance criteria in order to be eligible for membership
12. Management reserve the right to decide whether the athlete meets the high performance criteria
13. 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 Name Last Name

Todays Date

Date

Application Form

Personal Details

Membership Details