Checkout – Term – Fam – The Alaska Club

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.

Main - Family

APPLICANT INFORMATION

First Name *

Last Name *

Phone *

Email *

Date Of Birth *

Gender

Marital Status

Mailing Address *

Mailing Address

Street Address

Mailing Address

City

State/Province

Zip/Postal

Emergency Contact Name *

Emergency Contact # *

Monthly Dues ($0 Enrollment, 1st month free)

Monthly Surcharge if applicable: Additional children 0-20 years of age are $10 per month, additional children 21 and up are $15 per month, and additional children 21 and up added to platinum membership are $30 per month.

Fitness Consultation

Confirm Membership Plus Offer

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

I Agree To 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 05/01/25. This membership plus upgrade will be billed ongoing until membership accounting is contacted.

Do You Have Dependents?

Yes

ADDITIONAL APPLICANT INFORMATION

CO-APPLICANT

FIRST DEPENDENT ON MEMBERSHIP

SECOND DEPENDENT ON MEMBERSHIP

THIRD DEPENDENT ON MEMBERSHIP

FOURTH DEPENDENT ON MEMBERSHIP

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Your Fitness. Your Way

APPLICANT INFORMATION

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