Application Form — Barton Coast Club

Name

Address

Start typing your address below and select it from the list, or enter it manually.

Phone Number

E-mail

Date of Birth

Date You Wish Membership to Start

Emergency Contact Name

Emergency Contact Phone Number

By checking this box, I agree to the Health Commitment Statement. A link to this will be emailed to you.

By checking this box, I agree to the Membership Terms & Conditions. A link to this will be emailed to you.

I consent to the photo I provide for my membership being used for facial recognition entry at the doors.

Signature: accepting the Health Commitment Statement & Terms and Conditions of membership

Clear

By drawing your signature above, you are providing a legally binding electronic signature, equivalent to a handwritten one, confirming your agreement to the above.

Date

Your welcome letter (with everything you need to get started, including how to book your gym induction) will be emailed to you on submission of this application. Thank you for joining us here at Barton Coast Club!

My membership is paid via another member's Direct Debit (e.g. a partner or family member), so I don't need to set one up myself.

Direct Debit

This is the final step. Set up your Direct Debit below to submit your application.

Not yet set up.

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A private shore for the body
to train, and the mind to rest.

Membership Application Form

A private shore for the bodyto train, and the mind to rest.

Membership Application Form

A private shore for the body
to train, and the mind to rest.