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Microsoft word - zest form monthly.doc

MONTHLY – APPLICATION FORM
Culm Valley Sports Centre Exe Valley Leisure
Centre Lords Meadow Leisure Centre
The MEMBER – PERSONAL DETAILS Block Capitals
Surname …………………………………………………… First Names ………………………………………………. Zest Card No:
Address ……………………………………………………. ………………………………………………………………. ……………………………Post Code…………………… Membership Type: …………………………………………………. Date of Birth …………………………………………….…. Membership Start: …………………………………………………. Marital Status: Single Married Male Female Telephone STD……………… No………………………… Yearly Amount:…………………………………………………. Mobile Phone No: …………………………………………. Initial Payment taken: …………………………………………… e-mail ………………………………………………………. Payment
Payment Choice: CASH CHEQUE DEBIT/SWITCH Payment for Zest membership must be made on or before the
expiry date at the Centre where the membership was taken out.
Joining Fee paid: YES/NO Easy Zest Proof: YES/NO A lapse in membership may make you liable to pay a further
joining fee.
Member s signature: ……………………………………………… ……. Date: ………………………………………………… on from this application may be processed manually or by co mputer for the purposes notified by Mid Devon District Council e Data Protection legislation. Individuals have the right of access to personal information concerning them. I do not wish to receive information regarding Mid Devon Leisure Activities and Events Payment Payment for Zest membership must be made on or before the monthly
expiry date at the Centre where the membership was taken out.
A lapse in membership may make you liable to pay a further joining fee.
PL EASE NOTE: You can save money on your monthly membership by joining our Direct
Debit Scheme. For further information please ask at any of our Centres.
TERMS AND CONDITIONS OF MEMBERSHIP MONTHLY
THE CENTRE
1.1 “the Centre” is any leisure facility managed by Mid Devon District Council. The managed leisure facility premises are located at Crediton, Cullompton and Tiverton. THE COUNCIL
2.1 The Council shall through its duly authorised representatives manage and operate the leisure facilities and deal with all THE ACCEPTANCE OF MEMBERSHIP
3.1 The decision to accept the application of a potential member shall be at the sole discretion of the Centre management. The management reserves the right to verify, or require proof of all information given in order to obtain membership and any fraudulent or wrongful information given in order to obtain membership could result in the cancellation of all membership rights and lead to repayment of all monies due to the Centre. If the Centre accepts the application, membership by the Without notice and with immediate effect if the applicant shall commence upon the receipt of the joining fee member’s conduct, whether or not such conduct is and first payment. Upon acceptance of the member by the the subject of a complaint by another member or Centre, a membership card shall be issued. The membership group or members, is such that in the reasonable card remains the property of the leisure facility and entitles the opinion of the Centre management, it may be holder to all the rights and privileges exercisable by the injurious to the character, name or interests of the Centre, or is such that it renders the member unfit to 3.2 The acceptance by the Centre of an application for associate with other members of the centre. membership shall constitute a legal binding agreement Forthwith and without notice if the member shall between the member and the Mid Devon District Council. have committed any breach of these Terms and The member hereby agrees also to be bound by the rules and Conditions or of the rules and regulations of Mid regulations of the Mid Devon District Council that are in force Devon District Council as in force from time to time. By notice in writing if any part of the membership 3.3 Membership cards are issued to all current members and fee, which is due and payable, remains unpaid thirty must be shown at the Centre reception to gain entry every time a visit is made to the Centre. Membership cards may Upon not less than thirty days notice in writing if the only be used by the registered member and any fraudulent Council is of the opinion that the member is not a use of the membership card by the member will result in suitable individual for continuous membership of the cancellation of that membership with no refund being given. Lost or damaged membership cards will be subject to a A member whose membership is terminated by the Centre replacement charge being made by the Centre. 3.4 Membership fees shall not be refunded where the member membership with immediate effect without an entitlement to any claim for any refund 3.5 Completion of your details implies acceptance of the provision contained within the Data Protection Act. LIMITATION OF LIABILITY
4.1 The member acknowledges that the Council’s obligations and 10. CENTRE FACILITIES
liabilities in respect of the Centre are as defined in these 10.1. Members who fail to attend pre-booked activities will be charged the full casual fee for the activity in question unless at 4.2 The member is responsible for the consequences of any use least 24 hours notice is given or a medical certificate can be of any of the facilities of the Centre. The Council will not be liable for any indirect or consequential loss, damage, costs, 10.2. The Council reserves the right to make alterations to the type expenses, theft or damage to property, whether arising under of facilities provided by giving reasonable notice. contract, tort (including negligence) or otherwise. 10.3. The Council shall not be liable for cancellation of classes due 4.3 The Council accepts liability to the extent that it results from to unforeseen circumstances over which we have no control. the negligence of the Council and its employees for death or However we will endeavour to notify users if possible about these cancellations. The Council cannot accept any financial PHYSICAL HEALTH OF MEMBER
responsibility for the loss of these classes. 5.1 The member warrants and also represents that they are in 10.4. The Council shall not be liable for any inconvenience caused good health and are not knowingly incapable of engaging in by building works and for the provision of essential either active or passive exercise. The member further warrants that such exercise would not be detrimental to their 11. HOURS OF OPENING
health, safety, comfort, well being or physical condition. 11.1 The Centre’s normal hours of operation and the hours in 5.2 Before using any leisure fitness facilities the member must which any facilities within the Centre are available to members are available from the Centre upon request. Such MEMBERSHIP
hours may be lengthened or shortened at the absolute All categories of membership shall be subject to these Terms discretion of the Centre management with or without any prior notice being given to members. The Centre Management shall endeavour to give members reasonable notice of any such closure. Any refund given as a result of closure will The Centre management from time to time shall stipulate only be made at the sole discretion of the Centre INITIAL JOINING FEE AND MONTHLY MEMBERSHIP
12. GOVERNING LAW AND JURISDICTION OF THE COURTS
12.1. These conditions shall be governed by and construed in All members shall pay an initial joining fee that shall be accordance with English Law and are subject to the exclusive promotion, or other offer is available, that The member shall be liable to pay all membership fees irrespective of actual usage of the Centre. The Council reserves the right to increase membership fees. When this occurs the member will be given thirty days notice of the resultant fee increase. Lapses in membership payment may incur a new rejoining PHOTOGRAPHING OF MEMBERS
All members must agree to having their photograph taken photograph will only be visible to reception when the card is swiped and will be removed from the system when membership is cancelled. EXPULSION OF MEMBERS OR TERMINATION OF
MEMBERSHIP BY THE COUNCIL

The Council may expel members or may terminate the

Source: http://www.middevonleisure.org.uk/_pages/membership/aqua_zest/Zest_form_monthly.pdf

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Chronic recurrent multifocal osteomyelitis in children Author: Doctor Hermann Girschick1 Creation Date: March 2002 Scientific Editor: Doctor Frank Dressler 1Klinik für Kinderkardiologie, Universitätsklinik der RWTH Aachen - Institut für Humangenetik, Pauwelsstr. 30, 52074 Aachen, GermanIncluded diseases Differential diagnosis Frequency Clinical signs Etiology Diagnostic methods T

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