Free 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
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
Thank you for your submission!
We appreciate you taking the time to submit.
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