Join Ringside

Join Ringside

Join our private 24-hour gym for your aerobic fitness and weight training work out.

To begin the membership application process, please fill out the form below, or download our printable membership application here.

Personal Information

Name

Last: *

First: *

MI:

Contact Information

Street: *

City: *

Zip Code: *

Email: *

Home Phone: *

Work Phone:

Cell Phone:

Birthdate: * ex. 01/01/1970

Age:

Gender:

Male

Female

Physician Information

Physician Name: *

Phone: *

Street: *

City: *

Zip Code: *

Emergency Contact

Emergency Name: *

Phone: *

Parental Information (for youth members)

Mother/Guardian

Name:

Birthdate: ex. 01/01/1970

Employer:

Work Phone:

Cell Phone:

Email:

Father/Guardian

Name:

Birthdate: ex. 01/01/1970

Employer:

Work Phone:

Cell Phone:

Email:

Gym Membership

Gym Membership Type: *

Ringside Fitness $12.50 per month (Paid Annually $150)

Ringside Martial Arts $125.00 per month (Paid Monthly)

Ringside Martial Arts and Fitness $135.00 per month (Paid Monthly)

There is a one time Registration Fee of $35.00 for all Membership Types

Termination of Membership

The Management reserves the right in its sole discretion to refuse entry, remove any Member including his guest or to terminate the Membership of the Member who in the option of the Management:

commits any criminal offense on the WELLNESS GROUP, INC. premises;
displays unbecoming or uncivil behavior within the WELLNESS GROUP, INC. premises;
fails to observe or comply with any terms,conditions, rules and regulations of the Membership and/or the WELLNESS GROUP, INC.;
acts in any manner that is abusive or offensive to the employees/assignees of the WELLNESS GROUP, INC. or towards other Members and/or Guests; and
fails to pay all or part of any fees, expenses, charges or other amounts due to the Management whether arising out of this Membership or incurred upon any visit to the WELLNESS GROUP, INC. or upon the use of any services.

In the event of any termination, no Member shall be entitled to any refund on the whole or in part of the Fees paid.
Upon the termination or expiry of the Membership, all rights and privileges of any Member shall cease with immediate effect.
The termination or expiry of any Membership shall not affect the Management's right to recover any monies owed including but not limited to expenses, charges or fees imposed or incurred or occurring prior to and up to including the date of termination or expiry.
If a member chooses early termination of his/her membership prior to the 1 year expiration of membership date, the member will still be held liable and responsible for all fee's and charges due up to the original date of termination or expiry.

Agreement: *

I /WE agree to abide by all policies and procedures of the WELLNESS GROUP, INC./Ringside Martial Arts and Fitness.

Pre-Participation Questionnaire (Optional)

In order to provide a more effective and safer exercise program, Ringside Martial Arts and Fitness recommends that you accurately and honestly complete this form. Any information you provide is done so VOLUNTARILY. Refusal to complete this form will in no way influence your eligibility for membership.

1. Are you currently taking any prescribed or over-the-counter medications?:

Yes

No

a. Please list the medication(s) and its purpose.:

b. Are any of these beta blocker, heart, or stroke medication?:

Yes

No

2. Have you ever been told by a physician that you have a heart condition?:

Yes

No

3. Do you feel pain or pressure in your chest, neck, jaw, shoulders, arms or experience unusual shortness of breath, dizziness, or hard or irregular heart beat during or after physical activity?:

Yes

No

4. Do you lose your balance or pass out because of dizziness or do you ever lose consciousness?:

Yes

No

5. Has a physician ever told you, or are you aware that you have high blood pressure?:

Yes

No

6. Has anyone in your immediate family had a heart attack, stroke, or cardiovascular disease before age 50?:

Yes

No

7. Has a physician ever told you, or are you aware that you have a high cholesterol level?:

Yes

No

8. Do you currently smoke or have you smoked in the last 6 months?:

Yes

No

9. Do you have any bone or joint problems that could be made worse by a change in your physical activity?:

Yes

No

10. Do you have any physical or medical conditions (e.g. diabetes, recent surgery, arthritis, pregnancy, etc.) not mentioned above, or do you know of any other reason why you should not engage in physical activity?:

Yes

No

11. Are you currently exercising LESS than 3 times per week?:

Yes

No

If no, please list your activities.:

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