MEMBER  REGISTRATION (MIRA MESA LOCATION)
 
This is for the Basic Membership ONLY.  Group Ex and Premium Memberships have an enrollment fee and higher monthly fees.  Please call/text 858-549-3456 if you have questions.
   Membership Type: Basic Month to Month Membership
    
   Enrollment Fee: $ 1.04
    
   First Month Dues: $ 22.88
    
    
   Total Due Today: $
   
   Billing Begins: 04/28/2024
    
   Monthly Dues: $ 26.00
    
   
 PERSONAL  INFORMATION
   
     First Name / MI
     Last Name
     Address 1
     Address 2
     City / State
     Zip
     Driver License #
   
   
Birthday
Home Phone
Cell Phone
E-Mail
Confirm E-Mail
Emergency Contact
Emergency Phone
Hear About us?
   
 
 BILLING  INFORMATION
 
    How would you like to pay for your monthly dues?
     I want to use my credit card.
     I want to use my bank account.
    
    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 membership terms and club rules.
 
 
Member
 
Parent/Guardian