New member sign up forM Name * First Name Last Name D.O.B * Date of birth MM DD YYYY Email * Phone * Country (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Name, Phone and Relationship * Please list all current medical conditions and injuries Membership type * Unlimited $40.00 3 x Per week $35.00 Open gym $20.00 Membership start date * MM DD YYYY * By checking this box, you acknowledge that this form is solely for filing and setup purposes. The Membership Terms and Conditions must be signed online prior to attending the first class. Accept Thank you! One of our team will be in touch shortly via email!
