Please complete this form if you are interested in joining our club, or want to attend a course.
First name
Surname
Age
Male/FemaleMaleFemale
E-mail Address (if under 16 please give your parent/carer’s email)
Mobile Phone
Name of course you are interested in
Weightlifting / weight training experience
Any other information or comments
Would you like us to email with further information?YesNo
