EmailMe Form - Photo shoot form - South Yarra Fitness

Your Full Name *

Date of Birth

DD / MM / YYYY

Address

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

Phone Number *

Email *

Please email me with offers, info and events *

Yes

No

What is main reason for visiting today? *

I understand by using this form, that I am not committing to proceed with any service. I am aware that this form is a standard form to cover me against any bodily harm, not incurred by my own actions within the studio.
I am aware that accidents can happen whilst in the studio. I am aware that by using the equipment within the studio, should and accident occur, I will not hold South Yarra Fitness, Melody Carstairs or Mariya Mova, or associated partied liable. I am choosing to be here at my own risk, and take all responsibility as my own. *

Yes, I agree.

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