REPs Facility Registration Form 2017-2018

If your facility is already registered and you want to re-register for the coming year, you need to log in first. If this is your first registration, please continue below.

(Setting: Initial Instructions)

All fields marked with a * must be completed.

Facility Details

Facility Name: *
Legal Name: *
(Limited Liablity, Sole Trading Name etc)
Number of Exercise professionals based at this facility: *
Street Address: *
Town/City: *
Postcode: *
If you do not know your postcode, click here.
Postal Address: *
Phone 1:
Phone 2:
Website:
Facebook:

Owner Details

Owner:
Owner's Email:
Owner's Phone:

Facility Manager Details

Tick if same as above or complete below.

Manager:
Manager's Email:
Manager's Phone:

Fitness/Exercise Manager Details

Tick if same as Owner above or complete below.

Manager:
Manager's Email:
Manager's Phone:

Primary Contact

Primary Contact Person:
the person to undertake re-registrations and other administrative items for the facility registration