Terms and Conditions: First time guests only. Not applicable to students. Must be at least 21 years of age, a permanent local resident and show a valid driver’s license.
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First Name *
Last Name *
Zip Code *
Phone
Email *
How did you hear about us?
Internet
Newspaper
Yellow Pages
Friend
Member
Other
Primary interests? (Check all that apply)
Cardio Equipment
Strength Equipment
Group Fitness Classes
Personal Training
Small Group Training
Nutritional Counseling
Yoga
Childcare
Club Hours
Spinning
Motivation
Sports Conditioning
Martial Arts
Teen Program
Children’s Programs
What type of membership are you interested in?
Single
Couple
Family
Short term (1, 3, 6 mos)
Long term (12 mos)
When are you looking to join?
Immediately
Within 1 to 3 months
Within 3 months or later
Do you currently work out somewhere?
If so, where?
How often do you work out now?
1x / week
2-3x/week
more than 3 x/week
What are your fitness goals (please check top)?
Weight loss
Increased strength
Increased flexibility
Lower blood pressure
Toning
Stress reduction
Increased endurance
Improve overall health
