MEMBER  REGISTRATION
 
   Membership Type:    20 Class Pass Membership
   Enrollment Fee:    $ 260.00
   Total Due Today:    $ 260.00
 
  *To add additional members or services to your account, please stop by the club to do so.
 
 PERSONAL  INFORMATION
   
     Location:
     First Name / MI
     Last Name
     Address 1
     Address 2
     City / State
     Zip
     Birthday
   
   
Home Phone
Cell Phone
E-Mail
Confirm E-Mail
Emergency Contact
Emergency Phone
Hear About us?
   
 
 BILLING  INFORMATION
 
    How would you like to pay for your monthly dues?
     I want to use my credit card.
     I want to use my bank account.
    
    How would you like to pay today?
    Credit Card Type
    Credit Card Number
    Expiration Month/Year /
   
 
 TERMS   AND   CONDITIONS
 
 I have read and agree to the cancellation policy. Click to view
 I have read and agree to the membership terms and club rules. Click to view
 I have read and agree to the waiver of liability. Click to view
 
 
Member
 
Parent/Guardian