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Private Room Registration
Title
Name
(Required)
First Name
Last Name
Date of Birth
MM slash DD slash YYYY
Email
Contact Number
Emergency Contact Name
Emergency Contact Number
Nationality
Country that you are currently living in
Have you visited the Philippines before?
Yes
No
Can you confirm that you will have travel insurance purchased before arriving and be able to send through a copy of your cover (Please note: You will not be allowed to join the Retreat unless you have current travel insurance)
Yes
No
Address
Suburb
State
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Please list any dietary requirements or allergies that you may have
How would you rate your current fitness level?
I am new to exercise and just beginning
I train 2-3 times per week and consider myself to have an average level fitness
I train almost everyday and I consider myself fit
How would you rate your current CrossFit experience?
I’ve never done CrossFit before
I’m a beginner and can do basic scaled workouts
I’m an intermediate CrossFitter and try to do some workouts RX
I’m an experienced CrossFitter and can do everything RX
Please let us know any injuries that you may have that may limit your training or workouts
Are you pregnant?
Yes
No
Is there anything else that you would like to let us know about your current health and fitness before registering for your Retreat?
Consent
(Required)
I agree to the
disclaimer
.
ARTICIPATION CFS RETREAT AGREEMENT / RELEASE OF LIABILITY
The undersigned member hereby agrees to become a member of SIARGAO FITNESS SOLUTIONS INC. (the “GYM”) and a participant of CrossFit Siargao Retreats and hereby binds himself to follow its rules and regulations. The membership entitles the undersigned to the gym facilities.
The rules and regulations may change from time to time as may be deemed necessary by the management without notice. However, the members are expected to keep themselves abreast of the new rules and regulations which shall be posted on the gym’s bulletin board from time to time.
RULES AND REGULATION
1. GENERAL TERMS AND CONDITIONS.
A.The membership is non-transferrable and shall only be used by the undersigned.
B. The enrollment fee, as prescribed by the gym entitles one to become a Member.
Membership dues are for
Use of the facilities,
Access to classes;
Access to classes for the participants of CrossFit Siargao retreats;
8 nights in Bravo Beach Resort;
Airport transfer from Sayak airport to Bravo and Bravo to Sayak airport;
Scooter rental for 7 days, provided member is in the possession of valid driver license;
1 Welcome dinner;
1 Closing dinner;
8x Breakfast;
5x consumptions at CFS Cafe;
2 surf lessons including board rental;
Island Hopping Tour, including boat, entree fees, lunch;
Island Land Tour, including scooter rental, entree fees, lunch;
1 Wakeboard session at Wakepark Siargao.
2. LIABILITY INCASE OF INCIDENTS, WAIVER AND LIABILITY
A. In no case shall the gym be liable for any injuries or accidents if caused by the negligence of the member. The gym expects its members to have diligence in usage of the equipment. Gym personnel are available to assist the gym members. The gym expects its members to make use of these gym personnel to assist them in their routines. The gym shall however, provide for medical assistance in case of less serious injuries.
B. Member fully understand that before signing the agreement he/she is engaging in physical exercise with the use of exercise equipment. The exercise facilities, and training and instructions by gym personnel which may cause injury to him/her. The member is expected to assume all risks of injury to him/her account of these activities and in no case shall the gym be liable for such injuries.
C. The member is fully responsible for making sure that he/she conducts physical examination to ascertain that he/she is physically fit to perform the desired exercises. Further, he hereby represents and agrees that he/she has no physical disability or impairment preventing him/her from engaging in any exercise activity provided for by the gym.
D. The member is advised consult his/her physician before undertaking a physical exercise program. The member agrees hereby to waive any and all claims or rights he/she might otherwise have against gym, including the right to sue gym, its employees or agents, for any such injuries or claims aforesaid.
E. Members have carefully read this waiver and release and fully understands it is a release of any and all future claims against gym or injuries or risk of injury resulting from activities while attending gym facility.
F. In cases where a member is responsible for damage of property of the gym, such as but not limited to damaging gym equipment. The gym reserves the right to demand from the member payment of actual damages upon proving such negligence.
G. Furthermore, the member further agrees to release the gym from any liability for any loss or theft of personal property.
This agreement is governed by the laws of the Republic of the Philippines. Any provisions contradicting existing laws shall not affect the operation of those that are applicable to it.
3. CANCELLATION:
Member fully understands that request for cancellation of the Retreat less than 2 months prior to the first day of the Retreat will result in no refund being given.
Cancellation made by the member 2 months prior to the first day of the Retreat can be completed with a full refund minus $75 USD processing fee. Request for refunds must be made in advance and in writing at info@crossfitsiargao.com.
In the event that a camp is cancelled by CrossFit Siargao Retreats, all payments will be fully refunded and you will be notified as soon as possible via email.
Our Retreats are designed to offer a fun and safe experience for all participants. We believe in the importance of respect for other participants, coaches, equipment, the venues and their staff. We do not tolerate bullying, racism or fighting. I agree that CrossFit Siargao Retreats reserves the right to ask a participant to leave the Retreat if fairly warranted in the best interests of the safety and experience of the other participants.
Signature
(Required)
RETREAT PAYMENT
Credit Card
Card Details
Cardholder Name
Private
Price:
Total
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