Vitality Join Request Form - Fight Sports Centre

Get Rewarded for Living Well - Join Vitality Today!

Fill in the form below to start your Vitality journey and enjoy rewards for healthy living.

Full Name

Surname

Contact Number

ID Number (needed for Vitality activation)

Do you have a Discovery Health or Life policy?

Yes No

(If Yes, include your membership number)

Vitality Plan Selection

How would you like us to contact you?

Consent

I give permission for my details to be shared with Discovery Vitality for activation purposes