MEMBER  REGISTRATION
 
   Membership Type: Weekly Membership
    
   Enrollment Fee: $ 70.00
    
    
   Total Due Today: $
   
   
 PERSONAL  INFORMATION
   
     First Name / MI
     Last Name
     Address 1
     Address 2
     City / State
     Zip
     Birthday
   
   
Home Phone
Cell Phone
E-Mail
Confirm E-Mail
Emergency Contact
Emergency Phone
   
    
    How would you like to pay today?
    Credit Card Type
    Credit Card Number
    Expiration Month/Year /
   
 
 WAIVER AND RELEASE
 
 I have read and agree to the membership terms and club rules. Click to view
 
 
Member