Free Month of GRIT

Full Name*

First NameLast Name

Date of Birth*

Date

E-mail*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you have a sponsor?(has to be someone that's already a member)*

YesI'm here to make some friends!(I need a sponsor)

Sponsor Name

Are you a member of any other gym? If yes, which gym? *

What is your primary goal when it comes to health and fitness?*

Please rate your motivational level to do what it takes for reach your goal.

Timeline for achieving your goal:

	8 WKS	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
Now

Do you have any questions for us? *

Emergency Contact Name*

First NameLast Name

Emergency Contact Phone*

Please enter a valid phone number.

Relation to Emergency Contact*

WAIVER AND RELEASE OF LIABILITY

It is understood and agreed that the undersigned shall not bring or be brought any action due to personal injury or property damage that might result from the undersigned's participation in any exercise, or workout as may be liberally interpreted, whether under the supervision of any instructor or by the undersigned's own direction.

To restate, the undersigned agrees to accept full responsibility and to hold harmless Grit Fitness and/or any persons employed by or contracted by Grit Fitness. The undersigned must report immediately to the staff any affiliation as an exercise instructor, and any history of body injuries, defects, current pregnancy, knee problems, back or joint problems, etc…, so the said person may, at the discretion of the staff be removed promptly from the class or be allowed to remain in the class. Any failure to make public any of the aforementioned conditions shall be the sole responsibility of the undersigned.

I agree to the terms and conditions stated above*

AGREE

Signature*

We are so glad you've decided to try out

Grit Fitness and we are looking forward to getting to know you.

BRING A FRIEND FREE - SEPTEMBER