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PAYG Monthly Membership
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Step
1
of 3
PAYG Monthly Membership
Price:
£ 39.99
Name
*
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Last
Phone
*
Date of Birth
*
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Email
*
Email
Confirm Email
Ensure this is accurate as you'll need to show emailed receipt of payment when coming in on your first visit.
Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Next
Exercise Goals
*
Weight Loss
Tone Up
Health Reasons
Weight/Strength Training
Cardio Improvement
Other
Have you ever had or suffered from any of the following?
Heart Disease
Respiratory Disease
High Blood Pressure
Stroke
Arthritis
Epilepsy
Cancer
Diabetes
Osteoporosis
Fibromyalgia
Fainting/Dizziness
Bone/Joint Problems
Back Problems
Muscle Damage
Major Surgery
If you answered 'Yes' you must seek consent to train from your GP.
Are you pregnant? (Women only)
Yes
No
Emergency Contact
*
First
Last
Please enter the details of the person to be contacted in case of emergency
Next
Stripe Credit Card
*
Card
Name on Card
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