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LOCATE HEALTH CLUB . Details Of Your Fitness
Age:
Gender:	Male Female
What type of fitness center do you prefer?
Do you belong to a fitness center now or have you belonged with one in the past?	Yes No
If 'Yes,' please specify the most recent type and location of the center
Have you consulted other fitness centers regarding your prospective membership?	Yes No
What type of membership do you need?
The type of membership agreement are you requesting?
How many individual fitness memberships will be needed?
What services will you be needing in the fitness center?	Aerobic classes Basketball courts Cardio equipment Childcare Climbing wall Dance fitness Fitness assessment Kickboxing Lockers/showers Martial arts Massage Multiple locations Nutritional instruction Open 24 hours Personal training Pilates Pool/jacuzzi Racquetball Sauna/steamroom Spin classes Tanning Tennis courts Weight training Yoga classes No preference
Please list any existing medical conditions that require a physician's approval before participating in physical activity:
Details:
Please Note: () This is a required field Your Contact Information*
* Health Club Visit Date: Select Date
* First Name:
* Last Name:
* Enter Your Email Address. It will only be used regarding this matter.
* Enter Your Area Code, Then Phone Number:
* Enter your Zipcode so a Local Heath Club can contact you:
Do you currently have a Health Club membership ?
How do you prefer to be contacted?
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