Full Name:
Email:
Phone Number:
Date of Birth:
Address:
Gender:
Male
Female
How would you prefer to be contacted?
What type of membership are you interested in?
Single
Couple/Partner
Family
Senior
Student
Corporate
Other:
What are your primary interests?
Fitness Classes (Yoga, Spin, Zumba, etc.)
Swimming
Gym/Weight Training
Group Exercise
Tennis/Racquet Sports
Aquatics (Lap Swimming, Water Aerobics, etc.)
Childcare
Social Events
Wellness Programs
Relaxation/Spa
Do you have any specific fitness goals?
Weight loss/gain
Improve overall fitness
Relieve stress
Train for a specific event
Rehabilitation
Other:
Do you have any health concerns or limitations?
Have you been a member of our organization before?
How did you hear about us?
Do you have any questions about membership options or pricing?
Any other comments or feedback?
Would you like to receive email updates about special offers, events, and news?
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