Waiver

T&C Acceptance *

By signing this waiver, I agree to the terms and conditions of membership.

Name *

First Name

Last Name

Phone *

(###)

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Membership

Please mark which membership option are you interested in. No payment will be taken until your first visit to the gym.

Monthly Unlimited

20 Workouts Punch Card

10 Workouts Punch Card

Drop-in Workouts

Date of Birth

MM

DD

YYYY

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

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