5 day Trial EFC Trial Experience Form You are just a few clicks away from your EFC TRIAL EXPERIENCE! For Gold Coast Residents Only *these fields are mandatory Given Name*Surname*Date of Birth* OccupationAddressPhone*Email Address* How did you hear about us?Have you been a member of a health club (minimum 1 visit per month) in the last 12 months?YesNoHave you been an Empire Fitness Centre member before?YesNoI agree* I agree General Release. As a condition of entry I agree to be bound by the Empire Fitness Centre rules. I recoginise and understand exercise is not without some risk to the musculoskeletal system (for example, sprains, strains etc) cardiorespiratory system (for example dizziness, breathing, discomfort, heart attack etc) and other parts of my body and general health and wellbeing. I agree that Empire Fitness Centre or any successors, assigns and parties related in any way (‘EFC’) on the condition that EFC will not be responsible for (and I grant EFC an indemnity in respect to) any claim for personal injury, loss or damage whatsoever which may occur as a result of any or omission of EFC and/or attendance at EFC’s gymnasium.I understand and agree to the terms set out above.* I understand and agree to the terms set out above.