Active Workforce Registration Details

Please enter all fields.

Forenames

Surname

Address Line 1

Address Line 2

Town / City

County

Postcode

Date of Birth

Tel Number, work

Tel Number, home

Title

Sex

Occupation

Workplace

Organisation

If interested in alternatives, please indicate which ones?

Stress Buster Treatments Stepometer Walking Groups Weight Management Health Assessments Health Seminars Sports Leagues Exercise Classes

Other alternative

For gym use, which facility would you be most likely to access?

Where did you hear about Active Workforce?

You may have heard about the new General Data Protection Regulation (GDPR), that came into effect May 25, 2018. To help comply with GDPR consent requirements, we need to confirm that you would like to receive content from us.

Yes (Please tick this box if you would like to receive emails from Active Workforce)

No (Please tick this box if you would not like to receive emails from Active Workforce)

* This indicates mandatory fields