Gym Membership Form
The Cardio Club welcomes you! Thank you for joining the CC Family!
Sign in to Google to save your progress. Learn more
Name/Date: *
D.O.B *
Membership Start Date
Address: Street, City, State, Zipcode *
Cell Phone *
Home Phone
Email *
Do you consent to receive information from The Cardio Club via email?
Clear selection
Emergency Contact Name/Phone Number *
Membership Type *
Membership Category *
Membership Term *
How did you hear about us?
Autopay info: Checking account number and routing number (**Please note that autopay for a "GYM MEMBERSHIP" rolls over automatically year to year, but can be cancelled after the initial 12-month period)
Facebook Name *
Autopay info: Credit card number, 3 digit code, expiration, billing zip code
**OPTIONAL: MEASUREMENTS & WEIGH-IN WEIGHT (Bicep, Neck, Chest, Waist, Hips, Thigh & weight)
** THIS IS OPTIONAL, BUT RECOMMENDED!
**OPTIONAL: GOALS
Keycard Number: (If you do not have one, you can get one at the club. Special arrangements can be made for pick up. Keycards are assigned for a $5 deposit)
Digital Signature and Date *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy