[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-307531-105":53,"doc-detail-307531-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","membership-application-form-2022","Membership Application Form - 2022","","Membership Application Form for a Health & Fitness Club covering personal details, household information for dependents, and emergency contact data. Includes membership category selection, membership term duration, and payment method options such as cash, card, cheque, and direct debit with advance payment requirements. Contains official-use fields for dates, membership and receipt numbers, induction and safety feature confirmations, and ID verification. Also includes a medical questionnaire covering conditions and fitness-related disclosures plus club rules and regulations addressing Covid-19 procedures, operating hours, access restrictions, and membership responsibilities.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/membership-application-form-2022/307531/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/membership-application-form-2022/307531.png","ImageObject",442,249,{"name":88,"@type":89},"Hazel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What information is required in the personal details section?","Question",{"text":108,"@type":109},"The form requests name, address, contact number, email, gender, date of birth, and emergency contact details. It also includes sections for children’s names and dates of birth where applicable.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What membership payment methods are listed and what are the direct debit requirements?",{"text":113,"@type":109},"Payment methods include cash, card, cheque (payable to Actons Hotel), and direct debit. The direct debit option requires two months of payment in advance (first and last months) and includes a small administration charge, with a mandate form completed via the club.",{"name":115,"@type":106,"acceptedAnswer":116},"What do the club rules state about facility use and safety?",{"text":117,"@type":109},"Rules specify opening hours, last entry and vacating time, procedures related to Covid-19 and self-isolation, and restrictions for alcohol/drug influence. They also outline age-based access rules for children and limits on access to certain facilities during classes or due to maintenance.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},307531,1791042497,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":79,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":73},137441390410,"https://ap-avatar.wpscdn.com/avatar/2000252f4ab5702993?_k=1776741390130283984","Health & Fitness Club  \nApplication Form  \n\n| Personal Details |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| PERSON 1 |  |  |  |  | PERSON 2 |  |  |  |  |\n| Name: |  |  |  |  | Name: |  |  |  |  |\n| Address: |  |  |  |  | Address: |  |  |  |  |\n| Contact No: |  |  |  |  | Contact No: |  |  |  |  |\n| Email: |  |  |  |  | Email: |  |  |  |  |\n| Gender: Male □ Female □ |  |  |  |  | Gender: Male □ Female □ |  |  |  |  |\n| Date ofBirth: |  |  |  |  | Date ofBirth: |  |  |  |  |\n| Child 1 | Name: |  |  |  | D.O.B |  |  |  |  |\n| Child 2 | Name: |  |  |  | D.O.B |  |  |  |  |\n| EMERGENCY CONTACT |  |  |  |  |  |  |  |  |  |\n| Name: |  |  |  |  | Contact No: |  |  |  |  |\n| MEMBERSHIP CATEGORIES |  |  |  |  |  |  |  |  |  |\n| Single □ |  |  | Couple □ |  |  | Family □ |  |  |  |\n| Over 55’s □ |  | Student □ |  |  | Child □ |  |  | Special Offer □ |  |\n| MEMBERSHIP TERM |  |  |  |  |  |  |  |  |  |\n| 3 months □ |  | 6 months □ |  |  | 12 months □ |  |  | Other: |  |\n| PAYMENT METHOD |  |  |  |  |  |  |  |  |  |\n| Cash □ |  | Card □ |  |  | Cheque □\u003Cbr>Made payable to Actons Hotel |  |  | Direct Debit □\u003Cbr>Additional Forms Required |  |\n| Total Paid: |  |  | *Direct Debit option requires 2 months payment in advance (the first & last months) and includes a small administration charge. Please call into the club\u003Cbr>to complete a mandate form. |  |  |  |  |  |  |\n| OFFICIAL USE ONLY |  |  |  |  |  |  |  |  |  |\n| Start Date: |  |  |  |  | Expiry Date: |  |  |  |  |\n| Membership No: |  |  |  |  | Receipt No: |  |  |  | Staff: |\n| Gym Induction Book Yes □ No □ |  |  |  |  | If no, why: |  |  |  |  |\n| Safety Features Explained Yes □ No □ |  |  |  |  | Pool | Gym |  |  | Both |\n| ID Check: Yes □ No □ |  |  |  | ID last 4 Digits: |  |  | Form of ID: |  |  |\n| Please note the hotel’s privacy policy on the website |  |  |  |  |  |  |  |  |  |\n\nPlease use BLOCK CAPITALS to fill out this form  \nMEDICAL QUESTIONNAIRE  \nPlease circle if any of the following apply to you or your family:  \nHigh/Low Blood Pressure Y / N Asthma Y / N  \nDiabetes Y / N Epilepsy Y / N  \nArthritis Y / N Osteoporosis Y / N  \nHeart Problems Y / N Lung problems Y / N  \nHigh cholesterol Y / N Breathlessness Y / N  \nJoint Problems Y / N Muscle problems Y / N  \nDizziness Y / N Allergies Y / N  \nPlease detail any injuries/ailments:    \n________________________________________________________________________________________  \nAre you pregnant or have you recently been pregnant? Y / N  \nHave you undergone any surgery recently? Y / N  \nIf so, please detail:    \nAre you taking any medication at present? Y / N  \nIf so, please detail:   Is there anything else that may affect the use of the facilities? Y / N  \nIf so, please detail:    \n__________________________________________________________________________________________  \nWe would recommend that anyone thinking of taking up exercise of any form should  \ninform their doctor prior to joining  \nThe information I have supplied above is correct and I will endeavor to make known to Actons Health & Fitness Club staff any changes in my or my family’s medical status.  \nSigned   Date    \nActons Health and Fitness Club  \nRules and Regulations  \n1. The Club.  \n• The Hotel and Leisure Centre have a Covid 19 Response Plan which includes procedures for cleaning and disinfection, managing a suspected case of Covid 19 and staff training. All procedures are reviewed on a regular basis and guidelines and advice are obtained from a number of official sources.  \n• If you have symptoms of Covid-19, have been diagnosed with confirmed or suspected Covid-19 infection in the last 14 days or if you have been advised by a doctor to self-isolate at this time please do not use the facilities.  \n• Members of the club are bound as a condition of membership to comply with the rules set out below. This is to ensure that facilities are properly and safely used, and that all members have full advantage of them without int","cbCaibZDBC4TMdQn","https://ap.wps.com/l/cbCaibZDBC4TMdQn","pdf",243392,"English","# Personal Details\n## Membership Categories & Term\n## Payment Method\n## Medical Questionnaire\n# Rules and Regulations\n## The Club\n## Membership","[{\"question\":\"What information is required in the personal details section?\",\"answer\":\"The form requests name, address, contact number, email, gender, date of birth, and emergency contact details. It also includes sections for children’s names and dates of birth where applicable.\"},{\"question\":\"What membership payment methods are listed and what are the direct debit requirements?\",\"answer\":\"Payment methods include cash, card, cheque (payable to Actons Hotel), and direct debit. The direct debit option requires two months of payment in advance (first and last months) and includes a small administration charge, with a mandate form completed via the club.\"},{\"question\":\"What do the club rules state about facility use and safety?\",\"answer\":\"Rules specify opening hours, last entry and vacating time, procedures related to Covid-19 and self-isolation, and restrictions for alcohol/drug influence. They also outline age-based access rules for children and limits on access to certain facilities during classes or due to maintenance.\"}]","Membership Application Form - 2022 | PDF",1789850979]