Application form

your fitness is essential quote Our Planet Fitness Moto!

Name (First and Last):

Choose which membership you would like:

What benifits would you use? (only applys to blackcard members)

Tanning beds
Massage chairs
hydromassage
Not a Blackcard
All of The Above

What do you want to target while working out?

Cardio
Abs
Lower Body
Upper Body
All of The Above

How many hours do you plan on working out a week?

0-2hrs
2-4hrs
4-8hrs
8-10hrs

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