Checkout – Past Member – Fam

Your Fitness. Your Way

We are here to help you make a plan and reach your fitness goals. The best way for you to succeed is to meet with one of our experienced fitness managers to assess your health baseline and help you structure a program.

Past Member - Family 2025

12-MONTH 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: Free dues until December, $0 enrollment & 2 months free 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.

Fitness Consultation

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 prior to the 23rd on the last free month. If membership plus is not cancelled I will be charged $42 starting on the date below. This membership plus upgrade will be billed ongoing until membership accounting is contacted.

Membership Plus Expiration Date

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 $42 fee for primary.

Your Fitness. Your Way

12-MONTH FAMILY APPLICANT INFORMATION

ADDITIONAL APPLICANT INFORMATION

CO-APPLICANT

FIRST DEPENDENT ON MEMBERSHIP

SECOND DEPENDENT ON MEMBERSHIP

THIRD DEPENDENT ON MEMBERSHIP

FOURTH DEPENDENT ON MEMBERSHIP

Your Fitness. Your Way

12-MONTH FAMILY APPLICANT INFORMATION

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ADDITIONAL APPLICANT INFORMATION

CO-APPLICANT

FIRST DEPENDENT ON MEMBERSHIP

SECOND DEPENDENT ON MEMBERSHIP

THIRD DEPENDENT ON MEMBERSHIP

FOURTH DEPENDENT ON MEMBERSHIP