Looking to become a member of our facilities? Fill in our quick application form and we will be in touch!
Title (required) MrMrsMissMsMxDr
First Name (required)
Surname (required)
Address (required)
Postcode (required)
Date Of Birth (required)
Phone Number (required)
Additional Phone Number
Email (required)
Additional Application Comments
Centre To Contact (required) Culm Valley Sports CentreExe Valley Leisure CentreLords Meadow Leisure Centre
Please check if you believe you qualify for a concessionary membership.
Membership Category (required) AdultJunior
[group adult-memberships]
Membership (required) [select membership-adult "(Adult) Lifestyle Aqua Loyalty (£31.50 per month)(12-Month Commitment)" "(Adult) Lifestyle Plus (£45.00 per month)" "(Adult) Lifestyle Aqua (£36.20 per month)" "(Adult) Monthly Cash (£51.00 one off payment)" "(Adult) Lifestyle Plus Loyalty (£390.00 one off payment)" "(Adult) Lifestyle Aqua Loyalty (£315.00 one off payment)" "(Adult) Concession Monthly (£30.20 per month)" "(Adult) Concession Cash (£34.60 one off payment)" "(Adult) Student (£29.60 per month)" “(Adult) Corporate Loyalty (from £33 a month)” ]
[/group]
[group junior-memberships] Membership (required) (Junior) Junior Lifestyle (£25.50 per month)(Junior) Junior Lifestyle Upgrade (£5.00 per month)(Junior) Junior Lifestyle Aqua (£15.00 per month)(Junior) Junior Lifestyle (£22.95 per month)(Concessionary)
Child's First Name (required)
Child's Surname (required)
Child's Date Of Birth (required) [/group]
How did you hear about us?
What are the best times for us to give you a call back?
I have read and agree to the privacy statement. I have read and agree to the membership terms and conditions. I have read and agree to the health commitment statement..