Ukrainian Refugees Membership

Ukrainian Refugees Membership Form

Three months free on the following memberships:

PLATINUM: Available to everyone

HOUSEHOLD: Available for up to 2 adults and 4 children who live at the same address

ACTIVITIES INCLUDED: Health & Fitness Suite, Fitness Classes & Swimming

Applicant must provide a Ukrainian passport or UK Visa with this form.

Subject to public opening times - full details available at reception.

Those applying for the household must be living at the same address and must provide proof of this.

Membership Form

Please complete below and once finished, click ‘Submit’ and a member of the Actif team will be in contact once your application has been processed.

Ukrainian Refugees Membership Form

Membership applying for (please choose): *

Platinum

Household

Applicant must provide a Ukrainian passport or UK Visa with this form.

If signing up for household membership, please provide additional member names and date of birth (DOB):

Main Applicant Name *

Title *

Date of birth *

Contact number *

Email address *

Address *

Postcode *

Consent for storing submitted data *

Yes, I give permission to store and process my data