Club Fit!

 
Fill out this form and we will contact you shortly.  Please make sure you press the send request button at the end, so we receive your request.

You will automatically be entered in our raffle for a
Club Fit $50 gift card.
One entry per household. Drawings are held on a monthly basis.
  
 











 






Contact Information
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone/Email Information
Home Phone:
Work Phone:
Cell Phone Number:
Email Address:
Membership Option Interested In
Which membership option are you interested in?
(select all that apply)
 Individual
 Couple
 Family
 Junior
 College (out of town)
 Help Rx *

How would you like
for us to contact you?
Any questions?
Questions or Comments:

* img  is a physician referred exercise program designed to ease patients into exercising.
  Help Rx at Club Fit  clients will meet with a fitness professional to start their program and are encouraged to complete two workout sessions per week. New members only.

Click here for more information!

JanPRBR

  

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