Wellness Program - Bonham Barbell Club
Fill out this form to submit information to Bonham Barbell Club to get set up with a FREE gym membership as part of Silver Sneakers, Renew Active, Prime, One Pass, Aaptive, Active & Fit, Silver & Fit.  You must already be a member of such program.

After submitting your information, our office staff will verify your eligibility and get your gym membership activated.  Once activated, you will receive a welcome email from the gym with a personalized QR code that you can save to your phone, and scan at the door for 24/7 door access.  

Alternatively, you can come to the gym during staffed hours, and sign up in person.  Please bring your program ID card if you have one, or the membership ID number of your specific program you participate in.

Staffed Hours:
Monday 8 am - 8 pm
Tuesday 8 am - Noon and 5pm-8pm
Wednesday 8 am - 8 pm
Thursday 8 am - Noon and 5pm-8pm
Friday 8am - Noon
Saturday 9am - Noon
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Which program are you a part of? *
Required
NAME (first & last)  *
Email: *
Address (including number, street, city, state, zip) *
Phone Number: *
Birthdate: (needed to verify program eligibility) *
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Member ID Number (if known)
Example of Member ID Card
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