Application Form

If you are not able to sign up at your local facility, you can fill out the application form below, however a member of our team at Headquarters will need to call you back to complete the application. Membership cards will need to be collected from your local facility. 

All youth members will need to supply a personal email address so they can book activities.

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* 1. Preferred Venue:

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* 2. Child's Details

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* 3. Child's details:

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* 4. Parent/Carer details:

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* 5. Emergency Contact details:

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* 6. Course Payment Option 1 - Monthly Direct Debit:

Future instalments will be collected on LAST BANKING DAY OF EACH MONTH

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* 7. Signed by Parent/Guardian (please type full name)

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* 8. Signed by Live Borders

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* 9. Live Borders manage your data in accordance with the Data Protection Act 1998

From time to time Live Borders may wish to take photos of classes to use in publicity material.

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