MEMBER  REGISTRATION
 
   Membership Type:    Couple Month to Month - 12 Month
   First Month Dues*:    $ 59.98
   Total Due Today:    $ 59.98
   Billing Begins:    09/16/2017
   Monthly Dues:    $ 59.98
 
 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
Hear About us?
   
 
 ADDITIONAL ACCOUNT
     First Name / MI
     Last Name
     Email
     Birthdate
   
   
 
 
 
 
   
 
 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 contract terms. Click to view
 I have read and agree to the billing for membership. Click to view
 I have read and agree to the waiver of liability. Click to view
 
 
Member
 
Parent/Guardian