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Watton Sports Association & Social Club GYM MEMBERSHIP FORM Full Name - Mr/Mrs/Miss Address Postcode Telephone No (Home) (Mobile) E-mail Address Date of Birth ADULT MEMBERSHIP Full Membership (includes Gym Induction) Upgrade from Social membership Annual Membership Renewal YOUNG ADULT MEMBERSHIP (16 + 17 YEAR OLDS) Full Membership ( includes Gym Induction) Upgrade from Social membership Annual Membership Renewal PAYG per visit Peak: PAYG per visit Off-Peak: GOLD - Standing Order/DD SILVER - Standing Order/DD Temporary (max. 3 months) Fee as per Full Membership plus: £33.00 £15.50 £26.00 £23.50 £14.50 £16.50 £ 5.00 £ 4.50 £20.00 p/m £18.00 p/m £25.00 p/m £25.00p/m CONDITIONS OF MEMBERSHIP • Membership card is not transferable. • The Management reserves the right to refuse admission. • All guests must be signed in, no more than 3 at any one time (Association Only). • The Member is responsible for the behaviour of their guests. • The Management accepts no responsibility for valuables or vehicles left here. • No person under 18 years is allowed to use gaming machines. • Clothes or sports equipment are not to be brought into the bars or left in the corridors. • Dogs are not allowed in the premises (except guide dogs). • All members must abide by Club Rules. • Full House Rules may be found on the notice board. • Replacement Membership Card £2.50. • Membership card is to be produced upon entry to the centre. • A swipe card to access Member prices is available for a £2 deposit. ALL APPLICANTS All applicants may be asked to provide suitable proof of age and I.D. I have read and accept the conditions of membership and consent to abide by them. Signed……………………………………………………………Date………………..…. Fitness Centre Members – Please complete medical questionnaire For Office use only MEMB NO. JOINED RENEWED RENEWED RENEWED RENEWED RENEWED RENEWED PAID PAID PAID PAID PAID PAID PAID INDUCTION DATE DATE DATE DATE DATE DATE DATE