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Membership Application

Please complete all required fields carefully. Fields marked with are mandatory.

Personal details
Format: YYYY-MM-DD
Automatically calculated
Enter Valid NIC or Passport
Select Gender
Health information
Medical information (PAR-Q)
Please read each question carefully and answer honestly by ticking YES or NO.
Default is NO for all questions (you can change any).
Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had a chest pain when you were not doing physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem (for example back, knee or hip) that could be made worse by a change in your physical activity?
Is your doctor currently prescribing medication for your blood pressure or heart condition?
Do you know of any other reason why you should not take part in physical activity?
Contact & emergency details
Sri Lankan mobile — 07X
Auto-fills from Mobile (you can change if different)
Membership & payment
Calculated from Preferred Start Date and the selected package duration.
Auto from selected package.
Member photo
Position your face inside the oval
Preview
Example of a correct member face photo
Correct photo example
• Face the camera directly
• Centre the full face
• Use bright, even lighting
• Remove hats, masks and sunglasses
Required: Start the camera and follow the live instructions. The photo captures automatically after face and liveness verification.
Photo required. Start the camera for live verification.
A quick question
Terms & Conditions of Membership
  1. This membership cannot be shared or transfered to anyone else
  2. The Member wil start on the date of this Agreement and will continue until either the member or this Physical fitness center ends it.
  3. Please be respect tp other members and not engage in any activities that could harm the reputation of the fitness center.
  4. Shoes and appropriate exercising attire are necessary.
  5. Smoking is prohiited.
  6. Report any unsafety conditions to the management.
  7. Please be kind enough to pay memberships fees before or on due date.
  8. Management reserves the right to amend rules or terminate memberships for policy violations.
  9. Personal information is protected and used only for legitimate membership operations.
  10. By submitting this form, you confirm information is accurate and that you are medically fit to exercise or have consulted a physician.
You must agree to the Terms & Conditions to proceed.
Digital Signature (Required)
Please sign using your finger / mouse. (Required)
Clear & Start Over
ⓘ After you submit, our team will review your details and contact you to finalise your membership.