Join Chic Physique

Fill this in and we'll confirm your membership by email, usually within a day. Only the first few boxes are needed; the rest you can leave to us or finish at the front desk.

Your details

First name Last name

Date of birth Mobile phone optional

Phone (work) optionalPhone (home) optional

Address optional

Gender optionalOccupation optional

Employer optionalHow did you hear about us? optional

Emergency contact

Someone we can call if anything happens while you're training. We only ever use these details in an emergency. Leave them blank to give them in person instead.

Their name optionalRelationship optional

Their mobile optionalTheir home phone optional

Their address optional

Your doctor optionalYour doctor's phone optional

Health information

Knowing about anything that affects training helps our trainers keep you safe. This part is completely optional — you can join without it, and you can ask us to delete it at any time, which we'll do straight away.

I'd rather not answer these now — I'll go through them at the studioI'm happy to answer them now

Almost doneHappy to be contacted about the membership and the studioI accept the cookies policy

We use these details to set up and run the membership. See our privacy notice for what we keep and for how long, and your GDPR rights for how to ask for a copy or deletion at any time. Links open in a new tab.