Gym New Member Registration Form

Personal Details

Emergency Contact Details


Payment Agreement

Recurring Charge
You authorize regularly scheduled invoices on the same date every month starting on the date of membership sign-on.  You agree to pay your membership fee within 7 days of each recurring bill that is sent.  Failure to pay within that time frame will result in the membership being revoked. 

Recurring charges for membership will be sent via Quickbooks and to the email address provided by the member. 


Billing Details

Tap or click on the signature above to sign

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