GET FIT LADIES GYM

MEMBERSHIP APPLICATION
APPLICANT INFORMATION
Name:
Age: Phone: Mob:
Current address:
City:
Blood Group: Weight: Height:
Do you have any allergic sensitivity?(if yes please mention)

Are you suffering from any communicable disease? (if yes then mention please)

Have you ever had major surgical operation? (if yes then specify please)

EMERGENCY CONTACT
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Relationship:
ADMISSION FEES (RECORD COPY)
Membership No:
Amount:
Submitted On Date:
Signature of applicant: Date:
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ADMISSION FEES (MEMBER COPY)
Membership No:
Amount: Date:
Signature of applicant: Date:
Membership No: ____________