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 appropriate class of membership;
—Please choose an option—Family membership (2 adults + upto 4 children) - £340 p.a.Full membership (inc. Fitness Suite) - £225 p.a.Full membership (Sports Only) - £155 p.a.Concessionary (Weekdays 9 to 5 inc. FS) - £140 p.a.Student (inc. Fitness Suite) - £90 p.a.Student (Sports Only) - £56 p.a.Junior (7-18 years) - £41 p.a.Associate - £35 p.a.Social membership - £10 p.a.
Family membership fitness suite upgrade - n/a1 person @ £64 p.a.2 people @ £128 p.a3 people @ £192 p.a4 people @ £256 p.a5 people @ £320 p.a6 people @ £384 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 preferred method of contact:
E-mailTelephoneMail
You must read and agree to the Terms & Conditions I have read and agreed to the terms and conditions
* Badminton as your principle sport will incur a £10 p.a. shuttle fee.
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