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Membership Application Form

Please fill out the form as required, after the submission you will be redirected to the link for setting up the payments.

Date of Birth
Day
Month
Year
Payment Method
Direct Debit
Upfront
Upfront Duration Options
12 Months Contract
No Contract
Contract Duration
12 Months
6 Months
3 Months

Regular physical activity refers to being moderately active for at least 30 minutes on most, preferably every day of the week. Moderate intensity activity increases your heart rate but does not necessarily make you puff, it includes activities such as walking, cycling and gentle swimming. Select the statement below that best describes your current level of physical activity.

Current Level of Physical Activity
I am not physically active, and I do not plan on becoming so
I am thinking about becoming physically active, but I have not done anything about it yet
I am physically active occasionally but not regularly
I have become involved in regular physical activity within the past 6 months
I participate in regular physical activity and have done so for more than 6 months

Please answer the following health questions honestly. If you answer YES to ANY question, you will need to obtain a medical certificate from your doctor before joining.

Has your doctor ever told you that you have a heart condition or have you ever suffered a stroke?
Yes
No
Do you ever experience unexplained pains in your chest at rest or during physical activity/exercise?
Yes
No
Do you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance?
Yes
No
Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months?
Yes
No
If you have diabetes (type 1 or type 2) have you had trouble controlling your blood glucose in the last 3 months?
Yes
No
Do you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical activity/exercise?
Yes
No
Do you have any other medical condition(s) that may make it dangerous for you to participate in physical activity/exercise?
Yes
No

PLEASE SIGN BELOW:

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Please sign to confirm your agreement to the terms above.

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