Enrollment Form: 715 Elite

Member Details

First Name*

Last Name*

Gender

Phone Number*

Email*

Date of Birth*

Insurance Provider*

Insurance Provider ID*

Profile Photo*

Please align your face in the frame and take your photo.

A profile photo is required.

Address

Street Address*

City*

ZIP Code*

Country*

State*

Emergency Contact

First Name

Last Name

Phone Number

Billing Address

Same as home address

Street Address*

City*

ZIP Code*

Country*

State*

Select Membership

Memberships Sorted Alphabetically

Day Pass

1 day

Unlimited

$10.00 One-time

DESCRIPTION: Need a flexible option? Enjoy full access to the gym and wellness amenities for the day. Includes: - 24/7 Gym Access - Sauna Access - Steam Room Access Credit Card fee 3.5% will be applied

Family Membership

ongoing

Unlimited

$99.00 / Month +$25.00 One-time fees

DESCRIPTION: Stay active together with a membership designed for families. Includes: - 24/7 Gym Access - Sauna Access - Steam Room Access - Up to four family members - Two adults+dependent children. CC fee 3.5%

Single Membership

ongoing

Unlimited

$49.00 / Month +$25.00 One-time fees

DESCRIPTION: Perfect for individuals looking for convenient access to fitness and recovery amenities. Includes: - 24/7 Gym Access - Sauna Access - Steam Room Access Credit Card fee 3.5% will be applied

Membership Settings

Payment Method

Account Password

Password

too short

Confirm Password

Credit Card

All transactions are secure and encrypted

Card Number

Expiry Month

Expiry Year

CVV / CVC

Zip Code