Fee Membership

Sample Membership Form

ENROLLMENT FEES

Adults: Initial one-time enrollment fee of $100 and an annual subscription fee of $80 Children over 10 and under 18: Initial one-time enrollment fee of $50 and an annual subscription fee of $40 MEMBERSHIP LEVEL (CHECK ONE)

PERSONAL INFOMATION

EMERGENCY CONTACT INFORMATION

By signing I Agree to enter a Sample Gym at my own risk and not give my access information to anyone in before or after visitation hours. I also agree to the thirty (30) days cancellation policy. Student or Corporate membership (Monthly fee: $75) Individual membership (Monthly fee: $125)

First Name Last Name

Male Female

First Name Last Name

Male Female

Phone Number Email Address

Phone Number

Signature Date

Relationship

Home Address City State Zip

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