PY Monthly Membership

Single Monthly Membership - Step 1 of 3

Single (PY) Monthly Membership

Price: £ 25.00

Monthly 12 month direct debit

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)

Yes
No

Emergency Contact *

First

Last

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

Payment Information *

Card

Name on Card

On 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! *

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

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