Footwear Exemption Request

Submit the form on this page to apply for an exemption to wear footwear during your session at XtraClubs

Name

Phone number

Please describe why you require a footwear exemption

Please describe what footwear you are required to wear and why

Footwear cleaning policy

Tick this box to acknowledge that your shoes will be cleaned before your session, at no cost to you, by our club staff

Acknowledgement of terms

Tick this box to acknowledge that XtraClubs may review your exemption and revoke it at any time necessary