Apply for Thrive for Life

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Please fill out this form which forms part of our PARQ (physical activity readiness questionnaire) and health screening procedure for all members. It is important to answer the questions honestly so that we are able to support your health and wellness with the correct information. We screen for any health implications so that we can adapt your membership specifically for your requirements.
All data collected is kept secure and confidential, GDPR compliant.

Name *

Your email address *

Please re-type your email address (we like to double check that we have the correct information so that we can respond to your application). *

I have read the privacy and WOULD like to subscribe to Peak Movement's mailing list

I have read the privacy and WOULD NOT like to subscribe to Peak Movement's mailing list

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I would like to apply for: *

The mentoring membership - £35/month

Weekly coaching/treatment and mentoring membership - £190/month

Monthly coaching/treatment and mentoring membership - £80/month

12 week intensive nurture plan - up-front £1400 or 3 monthly instalments of £475

I am unsure

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