Adapt Membership Agreement

Please complete this membership agreement to join our growing fitness family!

Your Information

First name

Last name

Email address

Phone number

Date of birth

Month

Day

Year

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Gym Membership & Add-Ons

Select Your Gym Membership

Basic - $32.99 per 2 weeks

Plus - $44.99 per 2 weeks

VIP - $59.99 per 2 weeks

Please select from any of the following, if they apply to you. You may select more than one if more than one applies.

Military or First Responder

Family (you have a family member with an active Adapt membership)

Student/Youth (age 6-25)

Senior (age 60+)

Emergency Contact

Emergency contact name

Emergency contact phone

Relationship to Participant

Spouse, caregiver, parent, etc.

Health & Safety

Do you currently participate in structured physical activity or exercise for 30 minutes, at light to moderate intensity, on at least 3 days per week?

Yes

No

Would you like to consult with our physical therapist prior to participating in exercise programming, or to address a health concern?

Yes

No

Health Acknowledgment

I confirm I am physically able to participate in gym activities & physical exercise

I will consult with a physician before beginning any exercise program if I have health concerns

I understand the risks associated with physical exercise

Liability Waiver

I verify that I have read the Liability Waiver (click to view document) in its entirety, and I fully agree to the terms as written. My signature below constitutes a legally binding agreement with these terms.

I am 18 years of age or older, or if under 18, this form has been signed by my parent or legal guardian

Member signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Please sign to acknowledge you have read and agree to the liability waiver

Date signed

Month

Day

Year

Membership Contract

I verify that I have read the Adapt Fitness Membership Contract (click link to view document) in its entirety, and I agree fully to the terms. By checking this box, I understand that this indicates a legally binding agreement with the terms of the contract as written.

I am 18 years of age or older, or if under 18, this form has been signed by my parent or legal guardian

Member signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Please sign to acknowledge you have read and agree to the gym membership contract you have selected in this form.

Date signed

Month

Day

Year