Ryfields Gym Membership form
Please complete this form to set up your membership.
Full name *
Your answer
Contact Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
House Number *
Your answer
Postcode *
Your answer
Membership Option *
Sort code
Your answer
Account number
Your answer
Medical questions...
We're not doctors but legally we need to check a few things with you before you start training. Depending on the severity of any issues, we may advise you check with a doctor before training, although, if you're happy to get going, we won't stop you.
Please tick all that apply to you
Saving Money
As a Ryfields Gym member we are able to offer you a free membership to our discount club. This could entitle you to a reduction on your household bills, discounts on days and meals out and reduced prices on your Utility services including Broadband and Gas / Electricity.
Do you get an electricity and / or Broadband bill? *
Would it be OK if it was less *
We can help you earn some extra money part time too... Do you want some extra spending money each month?
Finally
I hereby state that I have read, understood and answered honestly the questions above. I also state that I wish to participate in activities, which may include aerobic exercise, resistance exercise and stretching. I realise that my participation in these activities involves the risk of injury and even the possibility of death.

Furthermore, I hereby confirm that I am voluntarily engaging in an acceptable level of exercise, which has been recommended to me.

I understand the Gym may be unstaffed at times and personally accept the risk of training unsupervised.

I understand that by submitting my bank details above, a Direct Debit will be set up and collected until cancelled and in the event it does not get paid, Ryfields Gym may refuse access to the Gym.

Please type your name to confirm the above *
Your answer
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