Ex-Member Single Monthly Membership Please enable JavaScript in your browser to complete this form.Single Monthly Membership - Step 1 of 3Ex-Member Single Monthly MembershipPrice: £ 14.99Name *FirstLastPhone *Date of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920You must be 18 years or over to become a member. You will be asked to produce Identification on entering the gym to confirm age and identity.Email *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeNextExercise Goals *Weight LossTone UpHealth ReasonsWeight/Strength TrainingCardio ImprovementOtherHave you ever had or suffered from any of the following?Heart DiseaseRespiratory DiseaseHigh Blood PressureStrokeArthritisEpilepsyCancerDiabetesOsteoporosisFibromyalgiaFainting/DizzinessBone/Joint ProblemsBack ProblemsMuscle DamageMajor SurgeryIf you answered 'Yes' you must seek consent to train from your GP.Are you pregnant? (Women only)YesNoEmergency Contact *FirstLastPlease enter the details of the person to be contacted in case of emergencyNextPayment Information *CardName on CardOn completion of payment, you will be redirected to a GoCardless direct debit mandate page to complete the membership. You are then ready to go and HUNT PROGRESS! Monthly 12 month direct debit at £29.99 one month following first payment. *Please confirm you have read and understood the above statement on next stepsSubmit Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)