Online Membership Application

Surname:

Forenames:

Email Address:

Address:

Post Code:

Telephone Number:

Date of Birth:

State the principle sport/activity;

Badminton*Fitness SuiteLacrosseSquashTennis

Tick below any other sports/activities you would be interested in playing;

BadmintonFitness SuiteSquashTennisLacrosse

Select the appropiate class of membership;

—Please choose an option—Family membership (2 adults + upto 4 children) - £280 p.a.Full membership (inc. Fitness Suite) - £180 p.a.Full membership (Sports Only) - £126 p.a.Concessionary (Weekdays 9 to 5 inc. FS) - £115 p.a.Student (inc. Fitness Suite) - £70 p.a.Under 18 (Sports Only) - £45 p.a.Associate - £30 p.a.Social membership - £10 p.a.

Family membership fitness suite upgrade - n/a1 person @ £50 p.a.2 people @ £100 p.a3 people @ £150 p.a4 people @ £200 p.a5 people @ £250 p.a6 people @ £300 p.a

Door access fob required? (£10 one off charge) - —Please choose an option—YesNo

Once submitted DASC will contact you to discuss your membership of the club. Please tick your prefered method of contact:

E-mailTelephoneMail

I have read and agree to the Terms & Conditions

* Badminton as your principle sport will incur a £10 p.a. shuttle fee.

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