MEMBER  REGISTRATION
 
   Membership Type:    Week PIF
   Enrollment Fee :    $ 57.00
   Additional Amenities:    $ 0.00
   Total Due Today:    $ 57.00
   Term:     1 Week
 
 PERSONAL  INFORMATION
   
     First Name
     Last Name
     Address 1
     Address 2
     City / State
     Zip
   
   
     Birthday
Cell Phone
E-Mail
Confirm E-Mail
   
    
    How would you like to pay today?
    Credit Card Type
    Credit Card Number
    Expiration Month/Year /
   
 
 TERMS   AND   CONDITIONS
 
 I have read and agree to the contract terms. click here
 I have read and agree to the waiver of liability. click here
 I certify that I am 18 years of age or older.
 
 
Member
 
Parent/Guardian