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Atlanta Barbell - New Member Registration
Completing this form is the first step of your membership registration process. You will need to sign a waiver and complete a payment form in-person before your registration is complete. Questions? Email atlantabarbell@gmail.com or call 404.618.6802.
First Name: *
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Last Name: *
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MEMBER DETAILS
Sex: *
Birth Date: *
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Mailing Address: *
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City: *
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State: *
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Zip Code: *
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Telephone: *
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Email: *
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Emergency Contact Name: *
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Relationship: *
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Emergency Contact Phone: *
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How did you hear about us? *
If referred by an existing member, please let us know who referred you.
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Membership Type *
Please indicate the type of membership you are registering for:
Learn to Lift Class Interest
If you are a new or beginning lifter, you may be interested in attending a Learn to Lift class. Would you like to learn more?
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