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)
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Date Of Birth (required)
Phone Number (required)
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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
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)” ]
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)
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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..