RECREATIONAL REGISTRATION ADULT

Last Name:
First Name:
Age:
DOB:
Gender:
M F
Address:
City:
State:
Zip Code:
Home Phone Number:
 Cell Phone Number:
Email Address:

If you are interested in the Aerobics program for adults, please take our survey on our Aerobics Alley page.

Age
Monday
Tuesday
Wednesday
Thursday
Friday
18 and up
7:30pm
7:30pm

Program Fees (monthly): One day a week is $45.00 and unlimited days a week is $75.00. Payable at time of registration.

Family Discount: There is a 10% program fee discount for each additional adult registered, regardless of the program.

Discounted Annual Registration Fee: $15.00 per adult.

Please fill out the registration form in it's entirety, print it by clicking here Print the entire registration form and mail it to:
GymStreet USA
P.O. Box 71
Tewksbury, MA 01876

Once your registration has been processed, you will receive a letter of confirmation from GymStreet USA. If you have any questions, please contact us at (978) MyGymSt or via email at GymStreet@GymStreetUSA.com.

 

__________________________
Signature of Parent or Guardian 		____________________________
Print name of Parent or Guardian 		__________________
Date