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Sports Centre


Sports Centre - Membership Application Form

Please note: With the closure of Newbold Comyn and St Nicholas' pools there may be an increase in the volume of people using the facilities, and some periods may be busier than usual.

Your Details

Health and Fitness Questionnaire

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month have you had chest pain when you were not doing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Is your doctor currently prescribing you drugs for your blood pressure or a heart condition?

If you answered 'yes' to one or more questions above, talk to your doctor before you start becoming much more active.

By submitting this form you agree that you have read and understood all of the information on this form, and that all answers are correct to the best of your knowledge.