Fitness Center Registration Form

Fitness Center Registration Form

Please fill out this form completely to register for our fitness center and start your health journey today.

Personal Information

Name

    Address

      Phone number

        Email

          Date of Birth

            Emergency Contact Information

            Emergency Contact Name

              Relationship

                Phone number

                  Health and Medical History

                  Do you have any existing medical conditions?

                  If yes, please specify.

                    Are you currently taking any medications?

                    If yes, please list.

                      Any allergies

                        History of injuries or surgeries

                          Membership Options

                          Type of Membership

                            • Individual

                            • Family

                            • Student

                            Preferred Start Date

                              Payment Options

                                • Monthly

                                • Yearly

                                Fitness Goals

                                What are your fitness goals?

                                  Preferred Workout Styles or Classes

                                    • Cardio (e.g., running, cycling, aerobics)

                                    • Strength Training (e.g., weightlifting, resistance training)

                                    • Yoga/Pilates

                                    • Group Fitness Classes (e.g., Zumba, boot camp)

                                    • Personal Training Sessions

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