Fitness Ambassador APPLICATION

Name *

First Name

Last Name

Phone

(###)

###

####

Birthday *

MM

DD

YYYY

What do you want to get out of your membership? (Pick two) *

Make new friends

Attend cool events

Network with others

Receive cool perks

Promote my business

I acknowledge that submitting this application does not guarantee a spot in the organization. *

Yes, I understand

I acknowledge this a membership club and agree to the non-refundable membership fee due upon acceptance. *

Yes, I understand