Gym Membership Form
Thank you for signing up for the Gym! Please complete this membership form.
Time to complete
3 minutes
Eligibility
Only members who are above the age of 21 years and in good health can fill the membership form.
Questions for Gym Membership Form
1.
Name
The answer should be a text input.
2.
Address
The answer should be a text input.
3.
City
The answer should be a text input.
4.
State/Province
The answer should be a text input.
5.
Postal/Zipcode
The answer should be a number input.
6.
Home phone number
The answer should be a phone number.
7.
Cell phone number
The answer should be a phone number.
8.
Email address
The answer should be an email input.
9.
Do you declare a disability?
The answer should be a single choice:
- Yes
- No
10.
If yes, please specify
The answer should be a text input.
11.
Emergency contact details
12.
Contact person name
The answer should be a text input.
13.
Relationship
The answer should be a text input.
14.
Emergency contact number
The answer should be a phone number.
15.
Have you, for any reason, been unable to exercise in the past?
The answer should be a single choice:
- Yes
- No
16.
Has your physician ever advised you against exercising?
The answer should be a multiple choice:
- Yes
- No
17.
Have you ever suffered from any cardiac (heart) related illness?
The answer should be a single choice:
- Yes
- No
18.
Have you experienced chest pain while exercising?
The answer should be a single choice:
- Yes
- No
19.
Do you have high blood pressure?
The answer should be a single choice:
- Yes
- No
20.
Are you currently taking prescribed medication?
The answer should be a single choice:
- Yes
- No
21.
Signature
The answer should be a signature.
22.
Date
The answer should be a date input.
Similar Ideas
- Gym Membership Application Form
- Gym Membership Enrollment Form
- Gym Membership Renewal Form
- Gym Membership Cancellation Form
Here are some FAQs and additional information
on Gym Membership Form
What should a gym membership form include?
The form should include the gym's membership policies, the types of memberships available, and the sign-up process. And collect the basic details of the person applying for Gym membership.
What is membership registration form?
A membership registration form is a form that is used to sign up for a gym membership.
Where can I find the gym membership form?
You can find a pre-made survey of gym membership forms on the BlockSurvey website along with 500+ other templates.
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