Summit Upgrade Checkout Family

SUMMIT UPGRADE FAMILY APPLICANT INFORMATION

First Name *

Last Name *

Phone *

Email *

Mailing Address *

Mailing Address

Street Address

Mailing Address

City

State/Province

Zip/Postal

Date Of Birth

Gender

Marital Status

Emergency Contact Name *

Emergency Contact # *

Monthly Dues ($0 enrollment, Free Membership Dues
until 2024 & 2 months free of membership plus)

Monthly surcharge if applicable: Children 21 and up are $20 per month for gold access. Children 21 and up are $40 per month for platinum access. Additional Children 0-20 years of age are $15 per month.

Club Fees

Confirm Membership Plus Offer

I would like to signup for 2 FREE months of Membership Plus

Agree To Membership Plus Terms

I understand that my free membership plus will last 2 months. If I would like to cancel my free membership plus I must contact membership accounting. If membership plus is not cancelled at 2 months I will be charged an additional $38 starting 03/01/26. This membership plus upgrade will be billed ongoing until membership accounting is contacted.

Add Additional Membership Plus User

I would like to signup another user for 2 FREE months of Membership Plus

I Agree To Terms

Additional membership plus user will have the same trial period as primary member. Second user will be charged an additional $20 starting on date listed above until membership plus trial is cancelled. This is in addition to the $38 fee for primary.

Do You Have Dependents?

Yes

Dependents under 6 years old can be added to your account at no additional fee, would you like to add one?

Yes

No Thank You

ADDITIONAL APPLICANT INFORMATION

CO-APPLICANT

FIRST DEPENDENT ON MEMBERSHIP

Dependent First Name

Dependent Last Name

Relationship to Applicant

Date Of Birth

Gender

Add A Second Dependent?

Yes

SECOND DEPENDENT ON MEMBERSHIP

Dependent First Name

Dependent Last Name

Relationship to Applicant

Date Of Birth

Gender

Add Third Dependent?

Yes

THIRD DEPENDENT ON MEMBERSHIP

Dependent First Name

Dependent Last Name

Relationship to Applicant

Date Of Birth

Gender

Add A Fourth Dependent?

Yes

FOURTH DEPENDENT ON MEMBERSHIP

Dependent First Name

Dependent Last Name

Relationship to Applicant

Date Of Birth

Gender

Your Fitness. Your Way

SUMMIT UPGRADE FAMILY APPLICANT INFORMATION

ADDITIONAL APPLICANT INFORMATION arrowup6

CO-APPLICANT arrowup6

FIRST DEPENDENT ON MEMBERSHIP

SECOND DEPENDENT ON MEMBERSHIP

THIRD DEPENDENT ON MEMBERSHIP

FOURTH DEPENDENT ON MEMBERSHIP

ADDITIONAL APPLICANT INFORMATION

CO-APPLICANT