Please enter your details (Required Fields are marked with a *)...


Your Details
Work Email Address * :
Name * :
Work Phone Number * :
Home Phone Number * :
Home eMail Address * :
Emergency Contact
Name * :
Phone Number :
Relation :
Previous Gym/Fitness Suite Experience
Medical Background
Have you recently had a medical through work or with your GP? If not, we recommend that you have one before you begin with any form of exercise.
Do you regulary take part in sport or any form of physical exercise?
Do you, or have you suffered from any of the following?
Heart Condition      
High/Low Blood Pressure      
Joint/bone problems      
Major operation in last 2 years      
Is there any possibility you may be pregnant, or have recently been pregnant?

Are there any other conditions we should be made aware of which may be reason to modify your induction/exercise programme?

If you answered YES to any conditions, please give further details.
Important Notice
If you answered YES to any of the conditions, we strongly recommend a consultation with your GP before commencing a programme of exercise.
We advise all new members to undertake a fitness induction. This will give guidance on the safe and correct use of equipment.
Please seek guidance if you become unsure becuase the equipment differs from that of your current/previous fitness club.
Do not use the equipment until you have been given guidance.
Fitness programmes, if provided, are offered as guidelines. If you wish to undertake these programmes, you do so at your own risk.
Sheffield Telecom Sports and Social Club accept no responsibility for any injuries sustained or progression of an illness whilst using the equipment provided for its members.

I accept the above notices? *

To complete your on-line gym registration, press the Submit button, and your application will be fowarded to the relevant person.


Website Maintained by Neil Cooley