Please complete the form below to be able to use the RPM Fitness gym:
Title: Mr Mrs Miss Ms Dr
First name:
Surname:
Date of Birth:
Mobile:
Email address:
Emergncy contact name:
Emergency contact number:
Full address including postcode:
How did you hear about us?
Do you have any health or medical conditions that need to be discussed before starting to train at RPM Fitness? No Yes - please provide details below
Health / medical conditions:
Should I suffer any injury, illness or condition, I agree to inform the RPM Team immediately and therefore agree to train at my own risk
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