The British Club Bahrain APPLICATION FOR HEALTH CLUB MEMBERSHIP

British Club Membership No:

Full Name (Mr/Mrs/Ms): ...............................................................................................................
Other Names: .....................................................................................................
Postal Address: ...................................................................................................
Telephone No.:(Res.) ..................................	(Office) .............................................
Date of Birth: .............................................	CPR No. ............................................

Type of Membership Required:
a)	Annual	BD 90/- p.p.
b)	Six monthly	BD 52/- p.p.
If accepted for Membership, I agree to abide by the rules of the British Club Health Club as published, but which may be amended from time to time. I also confirm that I am not suffering from any medical condition which may be complicated by physical activity.
Signature of Applicant .....................................		Date of Application ...............................
Membership is strictly non transferable.

Please indicate: How many times per week you intend to use the Health Club (approx.)
a) Once	b) Twice	c) 3 Times	d) More
Which time of day would you normally use the Health Club (approx.)
a)8a.m-12noon	b)12noon-4p.m.	c) 4p.m.-7p.m.	d)7p.m. onwards

For Office Use. Date received:.................................. Date Approved:.............................. Health Club Mem.No........................... Type approved:.............................. Amount Paid:.................................... Expiry Date:.................................. Receipt No:...................................... Access Activated: Y/N.................... Sign. Receptionist:............................