Executive Locker Application
What locker room is this for?
*
Mens
Womens
Would you like to be put on the wait list for a Half Locker $70/month?
*
Yes
No
Would you like to be put on the wait list for a Half Top Locker $70/month?
*
Yes
No
Would you like to be put on the wait list for a Full Locker $95/month?
*
Yes
No
Please select the locker you would like.
*
Half Locker $40/month
4 digit code of your choice
*
Membership Information
Name
*
First Name
Last Name
Membership #
*
Barcode #, can be found via Bay Club Connect
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Executive Locker Terms
Locker rental fees will be billed along with regular dues on a monthly basis.
Any changes to the locker agreement will go into effect at the end of the following month.
Rental rates are subject to change on an annual basis. You will be notified at least 30 days in advance.
Locker charges will still occur if membership is placed on a leave of abscence.
By signing below you agree to the above stated terms.
Date
*
-
Month
-
Day
Year
Date
Signature
*
Submit
Should be Empty: