Flex.FA Fitness Academy

Worle 01934 526744

Become a Member Personal – W-S-M

Please fill in the membership form and submit to become a member. This is a 2 step registration form, personal and medical. If selecting payment via cash, payment must be personally paid when visiting the gym. Direct debit payments will be taken 10 days after submitting your membership request.

Title (required)

Name (required)

Parent/Guardian Name (if under 18)

Parent/Guardian Date of Birth

Date of Birth (required)

Full Address (required)

Post Code (required)

Occupation (required)

Where Did You Hear About Us?

Telephone (required)

Email (required)

Emergency contact name and number (required)

Bill Payer - Name on Bank Account

Sort Code

Account Number

How Will You Pay? (select one)

If paying with (cash) please leave the bank details section empty. (DD) Direct Debit options require you to enter your bank details before submitting the membership form. Direct Debit payments will be taken 10 days after we receive your membership request and will incure an initial £10 fee to cover your first 2 weeks membership.
Monthly membership fee of £22.50 for a minimum of nine (9) months (DD)Monthly joint membership fee of £39.99 for a minimum of nine (9) months (DD) (2 PERSON)Monthly membership fee of £24.99 for a minimum of six (6) months (DD)Monthly joint membership fee of £44.99 for a minimum of six (6) months (DD) (2 PERSON)Monthly membership fee of £27.50 for a minimum of one (1) month (DD)Monthly joint membership fee of £50 for a minimum of one (1) months (DD) (2 PERSON)Monthly off-peak (11am - 4pm) membership fee of £14.99 for a minimum of three (3) months (DD)Monthly off-peak (11am - 4pm) membership fee of £20.00 (cash)Monthly cash payment of £30 (cash)Monthly joint cash payment of £55 (cash) (2 PERSON)

I would like an induction process prior to commencing training at the gym (Under 18s must accept induction)

I confirm that all information is correct and accept and agree to a minimum amount of payments.