EyUp Wellbeing Sign-Up

Express Interest - EyUp Ladies

Your Name *

Email address *

Mobile No. *

I am interested in joining... *

Bradford Ladies (Bingley on Thursdays) - New Space Available
Other - We will contact you

Age *

Height (cm) *

Weight (kg) *

Your Current Level of Sport Activity *

None, need to get myself moving again
Moderate, I exercise 1 or 2 times per week
Good, I exercise 3+ times per week

Your Postcode *

What Health Conditions Do You Have (ie high blood pressure, diabetes, etc)

Please confirm you have read and agree to our Terms & Condition *

Yes

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