Membership type* Please select one option:
Playing membership* Please select relevant option(s):
Adult sports by section* Please select relevant sections:
Bowls membership options* Please select one:
Bowls categories* Please select one option:
Cricket membership options* Please select one:
Cricket categories* Please select one option:
Add another?* Please select one:
Cricket categories* Please select one option:
Hockey membership options* Please select one:
Hockey categories* Please select one option:
Add another?* Please select one:
Hockey categories* Please select one option:
Squash & Racketball membership options* Please select one:
Squash & Racketball categories* Please select one option:
Tennis membership options* Please select one:
Tennis (on its own) categories* Please select one option:
Tennis (+ Full Squash) categories* Please select one option:
Tennis (+ Off-peak Squash) categories* Please select one option:
Junior Sports by section* Please select one option:
Junior Cricket categories* Please select one option:
Junior Squash & Racketball categories* Please select one option:
Junior Cricket + Squash & Racketball categories* Please select one option:
Add another?* Please select one:
Junior Cricket categories* Please select one option:
Add another?* Please select one:
Junior Squash & Racketball categories* Please select one option:
Add another?* Please select one:
Junior Cricket + Squash & Racketball categories* Please select one option:
Parental sports by section* Please select one option:
Parental Squash/Tennis* Please select one option:
Parental Cricket* Please select one option:
Social categories* Please select one option:
GYM MEMBERSHIPS Gym membership options* Please select one:
Peak categories* Please select one option:
Off-peak categories* Please select one option:
14-29 categories* Please select one option:
Pay annually?*
Gym applicant 1
In case of emergency (ICE)
Gym applicant 1 Q1* Q1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Gym applicant 1 Q2* Q2. Have you ever felt pain in your chest when you do physical exercise?
Gym applicant 1 Q3* Q3. In the past month, have you ever had chest pain when you were not doing physical activity?
Gym applicant 1 Q4* Q4. Do you often feel faint, have spells of severe dizziness or have lost consciousness?
Gym applicant 1 Q5* Q5. Have you ever suffered from unusual shortness of breath at rest or with mild exercise?
Gym applicant 1 Q6* Q6. Has your doctor ever said that you have a bone or joint problem, such as arthritis, that has been aggravated by exercise or that may be made worse by exercise?
Gym applicant 1 Q7* Q7. Do you have either high or low blood pressure?
Gym applicant 1 Q8* Q8. Are you currently on any prescribed medicines that may affect your ability to exercise?
Gym applicant 1 blood pressure type* Blood pressure type:
Gym applicant 1 Q9* Q9. Are you pregnant or have you had a baby in the last six months (women only)?
Gym applicant 1 Q10* Q10. Do you know of any other reason that would affect your ability to participate in physical activity?
In case of emergency (ICE)
Gym applicant 2 Q1* Q1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Gym applicant 2 Q2* Q2. Have you ever felt pain in your chest when you do physical exercise?
Gym applicant 2 Q3* Q3. In the past month, have you ever had chest pain when you were not doing physical activity?
Gym applicant 2 Q4* Q4. Do you often feel faint, have spells of severe dizziness or have lost consciousness?
Gym applicant 2 Q5* Q5. Have you ever suffered from unusual shortness of breath at rest or with mild exercise?
Gym applicant 2 Q6* Q6. Has your doctor ever said that you have a bone or joint problem, such as arthritis, that has been aggravated by exercise or that may be made worse by exercise?
Gym applicant 2 Q7* Q7. Do you have either high or low blood pressure?
Gym applicant 2 Q8* Q8. Are you currently on any prescribed medicines that may affect your ability to exercise?
Gym applicant 2 blood pressure type* Blood pressure type:
Gym applicant 2 Q9* Q9. Are you pregnant or have you had a baby in the last six months (women only)?
Gym applicant 2 Q10* Q10. Do you know of any other reason that would affect your ability to participate in physical activity?
Gym applicant 2 Q10 reason
In case of emergency (ICE)
Gym applicant 3 Q1* Q1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Gym applicant 3 Q2* Q2. Have you ever felt pain in your chest when you do physical exercise?
Gym applicant 3 Q3* Q3. In the past month, have you ever had chest pain when you were not doing physical activity?
Gym applicant 3 Q4* Q4. Do you often feel faint, have spells of severe dizziness or have lost consciousness?
Gym applicant 3 Q5* Q5. Have you ever suffered from unusual shortness of breath at rest or with mild exercise?
Gym applicant 3 Q6* Q6. Has your doctor ever said that you have a bone or joint problem, such as arthritis, that has been aggravated by exercise or that may be made worse by exercise?
Gym applicant 3 Q7* Q7. Do you have either high or low blood pressure?
Gym applicant 3 Q8* Q8. Are you currently on any prescribed medicines that may affect your ability to exercise?
Blood pressure type:* Blood pressure type:
Gym applicant 3 Q9* Q9. Are you pregnant or have you had a baby in the last six months (women only)?
Gym applicant 3 Q10* Q10. Do you know of any other reason that would affect your ability to participate in physical activity?
Gym applicant 3 Q10 reason
In case of emergency (ICE)
Gym applicant 4 Q1* Q1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Gym applicant 4 Q2* Q2. Have you ever felt pain in your chest when you do physical exercise?
Gym applicant 4 Q3* Q3. In the past month, have you ever had chest pain when you were not doing physical activity?
Gym applicant 4 Q4* Q4. Do you often feel faint, have spells of severe dizziness or have lost consciousness?
Gym applicant 4 Q5* Q5. Have you ever suffered from unusual shortness of breath at rest or with mild exercise?
Gym applicant 4 Q6* Q6. Has your doctor ever said that you have a bone or joint problem, such as arthritis, that has been aggravated by exercise or that may be made worse by exercise?
Gym applicant 4 Q7* Q7. Do you have either high or low blood pressure?
Gym applicant 4 Q8* Q8. Are you currently on any prescribed medicines that may affect your ability to exercise?
Blood pressure type:* Blood pressure type:
Gym applicant 4 Q9* Q9. Are you pregnant or have you had a baby in the last six months (women only)?
Gym applicant 4 Q10* Q10. Do you know of any other reason that would affect your ability to participate in physical activity?
Gym applicant 4 Q10 reason
ADULT OR PARENT/GUARDIAN DETAILS Applicant(s) details Please double check your above selections then choose the relevant option before proceeding with your details:
Adult 1
Adult 2
Parent/Guardian
JUNIOR(S) DETAILS Child 1
Gender Child 2
Gender Child 3
Gender 