Member Form

1

First & Last Name

First Name

Last Name

2

Are you over the age of 18?Minors cannot sign up for a membership with parent/guardian consent?

YESNO

3

DateDATE OF BIRTH

Date

4

Phone Number* This field is required.

Please enter a valid phone number.

5

Email* This field is required.

example@example.com

6

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

7

Membership Pricing

24/2 Membership: $30 per month (only available to current PT clients)
24/7 Membership: $60 per month

24/7 Partner Membership: $110 per month

Family of 3 Membership: $150 per month

Famiy of 4 Membership: $200 per month

For any other membership questions, or combinations. Please contact us directly.

8

Choose your Membership

24/7 Member

24/7 Partner Membership

Family of 3 Membership

Family of 4 Membership

Other

24/2 Membership (only available to current PT Clients)

9

Are you interested in Personal Training?

YESNO

10

What times do you typically train?

Early Morning 4-6AM

Mid Morning 7-10AM

Afternoon 11-3PM

Evening 4-7PM

Late Evening 8PM-3AM

12

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