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Keble College Gym

Membership Application Form 2017-18

Please complete this form in full if you wish to become a member of Keble College Gym. Thank you.

Terms and Conditions
Gym Rules





7 digit number starting with 2
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(An induction is not applicable for old members)
  Yes No
1. Has your doctor ever said that you have a heart condition?
2. Has your doctor ever suggested that you restrict your physical activities?
3. Do you have high blood pressure?
4. Have you ever experienced chest pains?
5. Do you suffer from dizziness?
6. Do you suffer from loss of consciousness or fainting?
7. Do you have a bone or joint problem aggravated by physical activity?
8. Is your doctor currently prescribing medicine for you?
9. Do you know of any reason why you should not do physical activity?
e.g. Epilepsy/Asthma/Diabetes/Hearing/Sight Impairment