Simply Limitless Wellbeing Centre - Health & Wellbeing for the Wyre Forest

Home
Services
About
- Meet the team
- Recruitment
  - Trustee
Get Involved
Contact Us

Home
Services
About
- Meet the team
- Recruitment
  - Trustee
Get Involved
Contact Us

Megafitness Registration

Megafitness Sign Up form

Please fill in the form below

MF signup

Name:

Email:

phone

DoB

Address

Post Code

Next of Kin (name)

Next of Kin (contact)

Doctor's Name

Doctor's Surgery

Do you have any illness'?

Do you take any medication?

Are you Interested in a monthly membership?

Yes

No

Are you interested in our Family membership offer?

Yes

No

Disclaimer

I confirm the above information is correct and that i will notify Simply Limitless of any changes. I agree there is no liability for Simply Limitless or its respresentatives for any injury incurred whilst undertaking activities.

Thank you for signing up - please continue to book whichever classes you would like to attend. If you would like to pay for a monthly membership we will be in touch.

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Charity Number; 1142444

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All Rights Reserved | Simply Limitless

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