Guest Waiver "*" indicates required fields Step 1 of 3 33% Personal InformationName* First Last Email* Phone*Contact Method Call Text Email Birthdate* MM slash DD slash YYYY Gender* Male Female Other So we can make sure you get the right membership for you, what's your household makeup? It's Just Me My Partner and I Me and my Kids Me, My Partner + our Kids Street Address City* State*AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming Fitness InformationHow Did You Hear About Us Word of Mouth Television Drive By Newspaper Internet Search Social Media Friend / Family Fitness Journey It's my first time joining a gym I want to escape to the gym for some "Me Time" I want to stay fit, and look my best this year When I think fitness, I think GYMBOX Fitness I'm ready for a lifestyle change, looking to work with a Personal Trainer or take Group Classes! Fitness Goals Lose 15 or more Lbs. of Body Fat Gain Muscle/Weight Cardio/Heart Health Injury Rehabilitation Other Fitness Goals Other Membership Amenities Request 24 Hour Access HydroMassage Group Fitness Tanning Locker Room Bring a Guest Pass ConsentAs a Guest of GYMBOX Fitness, I acknowledge that physical activity and the use of exercise equipment, club facilities, club programs, tanning beds, fitness instruction, and other services could result in illness, injury, or theft of personal property. I hereby affirm that I am a voluntary participant in these activities and assume all associated risks. Furthermore, I release and hold harmless the officers, staff, agents, and assigns; from all claims should any injury, illness, or loss occur. I am hereby advised to consult a physician before undertaking any exercise program. My signature below indicates that I have carefully read this waiver and agree to its terms and conditions.Terms and Conditions* I agree to the above terms GYMBOX Fitness is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:I agree to receive other communications from GYMBOX Fitness. I agree to receive other communications from GYMBOX Fitness. You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy. By clicking submit below, you consent to allow GYMBOX Fitness to store and process the personal information submitted above to provide you the content requested.Signature*Hiddencard number
