Breadcrumb Home Gym Gym Application Form Gym application form University Email Full Name First Middle Last Role - Select -StaffUndergraduateGraduatePGCE Homerton residence Your Health and Readiness for physical activity. Please read the following questions carefully and answer each one honestly. Please tick if any issues apply to you. Have you ever had any of the following: * Heart problems Low blood pressure High blood pressure Epilepsy Pain in chest when exercising Breathing difficulties or asthma Diabetes Fainting spells Joint problems Back complaints I am on some sort of medication I have another significant illness or have had an operation I have no health concerns If you have answered yes to any of the above questions you may need to consult your doctor prior to exercise. Please read the statements below and agree by ticking the check box. I have read the Rules of the Gym attached to this form and agree to abide by them. I have to the best of my knowledge completed the health questionnaire and in signing this form, I understand that I carry full responsibility for myself in engaging in physical exercise. I have watched the Homerton Gym Induction video which covers safety and use of the gym. For resident students and staff we aim to give access within 1 working day. For non-resident students we aim to give permission within 1 working day of receiving this form and proof of payment. Staff and non residents may pay via their Upay account (www.upay.co.uk/app/) and the booking appears as an event or in the finance office. Latest from The Homersphere 08 May 2024 Homerton alumnus Ravindra Gupta to deliver Bernal Lecture on May 9th Homerton alumnus Ravindra Gupta to deliver Bernal Lecture on May 9th 03 May 2024 Charities face unprecedented challenges: Insights from Michelle Mitchell's lecture Charities face unprecedented challenges: Insights from Michelle Mitchell's lecture 01 May 2024 Charities in partnership is the key Charities in partnership is the key 01 May 2024 Nurturing Wellbeing: Insights from Homerton's Wellbeing Fair Nurturing Wellbeing: Insights from Homerton's Wellbeing Fair 26 April 2024 Nelson Mandela's daughter delight at bust of her father Nelson Mandela's daughter delight at bust of her father View all
08 May 2024 Homerton alumnus Ravindra Gupta to deliver Bernal Lecture on May 9th Homerton alumnus Ravindra Gupta to deliver Bernal Lecture on May 9th
03 May 2024 Charities face unprecedented challenges: Insights from Michelle Mitchell's lecture Charities face unprecedented challenges: Insights from Michelle Mitchell's lecture
01 May 2024 Nurturing Wellbeing: Insights from Homerton's Wellbeing Fair Nurturing Wellbeing: Insights from Homerton's Wellbeing Fair
26 April 2024 Nelson Mandela's daughter delight at bust of her father Nelson Mandela's daughter delight at bust of her father