iPRO GYM - MEMBERSHIP


Online Registration Form

Date Of Birth
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Price
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First Name
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Last Name
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Address Line 1
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Address Line 2
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Town/City
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Postcode
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Contact Number
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Email Address
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Gender
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Ethnicity
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Do you have a disability?
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How did you hear about the iPro Gym?
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Emergency Contact First Name
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Emergency Contact Last name
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Emergency Contact Phone Number
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The Leisure Box, as part of Burnley FC In The Community, suggests that in the interests of your health and well-being that you consult your GP surgery before commencing a new exercise regime. The Leisure Box will not be held liable for any unforeseen consequences that may arise as a result of you failing to take or follow the advice of a medical professional in relation to your exercise regime.


If you answer YES to any of the questions below it is expected that you will seek medical advice prior to using the iPro Gym. The Leisure Box will not be held liable for any unforeseen consequences that may arise as a result of you failing to take or follow the advice of a medical professional in relation to your exercise regime.

Have you ever been told by a doctor that you have a heart condition?
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Have you ever been advised not to exercise by a doctor?
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Do you/have you experience chest pain when performing physical activity?
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Have you experienced chest pains when NOT performing physical activity in the last month?
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Have you recently experienced unexpected dizziness of loss of consciousness?
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Do you have a bone or joint condition that could be aggravated by physical activity?
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Are you currently prescribed medication for high blood pressure and/or a heart condition?
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Failure to disclose any changes in your health status will invalidate this health questionnaire, and may result in your membership being suspended or terminated on medical grounds.
Burnley FC in the Community (BFCitC) and the Leisure Box is committed to ensuring we have the appropriate consent in place from individuals that join the iPro Gym. In accordance with the new General Data Protection Regulation (GDPR) we are required to gain the necessary consent and we are committed to ensuring individuals have real choice and control over your data.
Please select the 'Full consent' option if you consent to BFCitC capturing photos/videos of you while you are participating in BFCitC events/activities. You accept that the subsequent use of photos/videos maybe utilised in numerous media platforms, including but not limited to print and digital media used by BFCitC and/or agents authorised by BFCitC.
Consent for photos and videos
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Your information will not be shared with any third parties and you can unsubscribe anytime from our database by sending your request via email to community@burnleyfc.com and leisurebox@burnleyfc.com.


BFCitC is committed through trained competent staff at the Leisure Box to provide a safe and secure fitness environment. Whilst using the iPro Gym, any injuries occur through no negligence of our staff. BFCitC takes no responsibility for any injury or worse of any individuals participating in any of our activities.

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