| GUEST PASS This Certificate is good for� ONE FREE WEEK membership. Once you�ve filled out the portions below, drop it off at the Fitness Center to receive a FREE one-week trial membership! (Subject to a signed release waiver) Offered to first time new prospective members only. Employment Status Requirements Apply! Print, complete, sign and submit when you are ready to start! |
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| Please answer the following questions with the response that best describes you. |
| What are your goals? ____Lose Weight / Tone Up ____To gain Overall Energy or Improve Performance _____Medical Reasons or Improve Health |
| What auxiliary (additional fee) programs interest you? ____Personal Training ____BioMetrics- Custom meal & weight loss plan ____Massage Therapy ____Health Screenings (includes Flu Shots) ____Metabolism Matters- Learn your resting Metabolic Rate, this measures oxygen consumption, providing critical information in managing the Energy Balance Equation. ____Walk This Way- Pedometer with motivational program. |
| Corporate Services: Would your company be interested in hosting a Seminar, Flu Shot program, Cholesterol Screening, Smoking Cessation or other healthy lifestyle encounter? Provide a contact person & number: ________________________ |
| Describe your previous fitness experience(s): |
| How did you hear about us?_____________ Name a member as your "sponsor" - |
| NAME __________________________________ Company_________________________________ Phone ___________________________________ Email _____________________________________ |
| Both this page & a waiver are required. To print the Guest Waiver & Release ------>> |
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| Use the "Print" feature from your toolbar menu. |