Gym Registration Form
Gym Registration Form
Please provide the requested information on this form to process your membership.
Member Profile
Name
Phone number
Address
Application Fee and Payment
Membership Type
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Individual Membership - $30/month
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Family Membership - $50/month
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Student Membership - $25/month
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Senior Membership - $20/month
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Monthly Pass - $40
Payment Information
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Cash
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Bank Transfer
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Credit Card
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Debit Card
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Online Payment (e.g., PayPal, Stripe)
Proof of Payment
If payment is made by bank transfer, credit card, debit card, or online payment, please provide proof of payment:
Emergency Contact Information
Name
Relationship
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Parent
-
Spouse
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Sibling
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Friend
-
Phone number
Terms and Conditions
By signing this registration form, I agree to the following terms and conditions:
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Release of Liability: I release [Your Company Name] from any and all liability for injuries, damages, or losses incurred while participating in gym activities or using gym facilities.
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Adherence to Rules: I agree to follow all gym rules and regulations for the safety and well-being of myself and others, including proper use of equipment and adherence to facility hours.
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Termination of Membership: [Your Company Name] reserves the right to terminate my membership immediately if I violate any terms and conditions or engage in behavior deemed harmful to myself or others.
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I read, understand, and agree to the terms and conditions listed above.
Name:
Date:
