Crunch Membership Request

Crunch Membership Request Form

Please Note: This DOES NOT give you membership to Crunch. This form is sent to Crunch to verify eligibility and complete the membership process. Do not submit this form more than once. If you have already completed a submission, do not submit a duplicate. Contact benefits@mymanatee.org if you need to make a correction or have questions.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
E-mail*
Cell Number*
Are you a member of the YourChoice Health Plan?*

YesNo
Only members on the YourChoice Health Plan are eligible for this Crunch Membership.
Are you a current member of Crunch?*

YesNo
ATTENTION CURRENT CRUNCH MEMBERS:
Any current Crunch member must GO IN to their local Crunch front desk to CANCEL their current membership and ensure December is their last billing period. YourChoice is a new membership and memberships CANNOT be transferred.
Important Notice regarding Personal Training:

We’re excited to offer Crunch as a free gym option for our health plan members. At this time, however, the personal training component at Crunch is still being finalized and may take a little longer to roll out.

If you’re interested in starting personal training now, our Manatee YourChoice personal trainers are currently available and ready to work with you outside of Crunch. To see a listing of our trainers, please click the link the below:

https://manateeyourchoice.com/wellbeing-programs/fitness/personal-training

Please note:
- Adult Health plan members receive five (5) free personal training sessions per calendar year.
- You must use all five sessions with either a Crunch trainer or a Manatee YourChoice trainer.
- No advance payment is required for these sessions.
- Any additional sessions or other charges, including consultation fees and extra services, are not covered by the plan and are the member’s responsibility.
- If you are unsure about information that is being provided by Crunch, please reach out to benefits@mymanatee.org.
Thank you for your patience as we transition to this new benefit option. We will provide another communication once the personal training benefit has been finalized.
Should be Empty:

Crunch Membership Request Form