The Pride Gym - New Year Offer – Joint Monthly Membership

Joint Monthly Membership

Price: £ 24.99

Monthly 11 month direct debit at £49.99 follows

First Member Name *

First

Last

Phone *

Date of Birth *//

You 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 1

Address Line 2

City

State / Province / Region

Postal Code

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)

Emergency Contact *

First

Last

Please enter the details of the person to be contacted in case of emergency

Member Two Name *

First

Last

Phone *

Date of Birth (copy) *//

You 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 (if different to Member One)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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)

Emergency Contact *

First

Last

Please enter the details of the person to be contacted in case of emergency

Credit/Debit Card Payment *

Card

Name on Card

On completion of payment, you will be redirected to a GoCardless direct debit mandate page to complete the membership. The next payment will be one month from this payment. You are then ready to go and HUNT PROGRESS! *

Please confirm you have read and understood the above statement on next steps

Terms & Conditions: All Direct Debit memberships are 12 month contracts, by confirming this statement this enters you into a legally binding contract and agree to make 11 further monthly Direct Debit payments to The Pride Gym LTD, failure to do this or terminating the contract early may result in the remaining balance being due in full. Please speak to management regarding exceptions. At the end of the 12 month period the contract then automatically moves to a rolling monthly contract, cancellable with 30 days notice. Online contracts are agreed by accepting the terms and conditions before proceeding to GoCardless for the direct debit mandate. No physical signature is required. If you require a copy of your contract please contact The Pride Gym at info@thepridegym.co.uk

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