Online registration

1

Number of "À la carte" sessions

Location

First name

Name

I agree to receive Nautilus Plus communications by email and SMS.

Payments frequency

2

PERSONAL INFORMATION

Birthdate

Gender

Phone number

Emergency phone number

3

PAYMENT INFORMATION

Address (Street number, street name)

Postal Code

Country

Province

City

PAYMENT INFORMATION

Card Number

Name on the card

Expiry date:

Security code (CVV number)

I have read and accept the terms and conditions of use.

I have read and accept the physical activity form.

Accepted credit card:

It is recommended to have a medical examination before undertaking any physical fitness program.

YES

1. Has your doctor ever said that you have a heart condition OR high blood pressure?

2. Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity?

3. Do you lose balance because of dizziness OR have you lost consciousness in the last 12 months? Please answer NO if your dizziness was associated with over-breathing (including during vigorous exercise).

4. Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?

5. Are you currently taking prescribed medications for a chronic medical condition?

6. Do you have a bone or joint problem that could be made worse by becoming more physically active? Please answer NO if you had a joint problem in the past, but it does not limit your current ability to be physically active. For example, knee, ankle, shoulder or other.

7. Has your doctor ever said that you should only do medically supervised physical activity?

If you answered no to all the questions, complete your subscription. If you answered yes to any of the questions, it is essential that you consult with your doctor and get his recommendations before starting a training program. Once you have obtained your doctor's recommendations, please contact us by email at servicesenligne@nautilusplus.com.