Forms

To Our Members:

For your convenience we have provided all the forms that are needed for Membership sign-up, Guest sign-up and to gather insurance information for eligible insurance reimbursement programs.


Please click on the appropriate form(s) needed to complete your membership and/or insurance reimbursement.
  Print the entire form (including page 2), complete the information requested and sign.  Once you have completed the form(s), please drop them off with your payment (or EFT information) at Coffee Street Fitness & Dance in the security box located in the Commons Area underneath the forms shelf. All the same forms are still available at the fitness center in the Commons Area.


MEMBERSHIP:  (Print both pages)

Membership Form (side-1)

Form for Waiver & Release (side-2)

 
INSURANCE:
Form for Insurance Reimbursement for Membership


                           (Print both pages)
Form for Silver & Fit Program (side-1) 

Form for Silver & Fit Program (side-2) 


GUEST:              (Print both pages)
Form for Guest Use Contract (side-1)
Form for Waiver & Release (side-2)

Thank you for your continued membership and we look forward to seeing you, or perhaps meeting you for the first time, at the fitness center!

The success and continuance of Coffee Street Fitness is dependent upon your honest, respectful and considerate use of the facilities and equipment as well as your active promotion to new members and guests.


Thank you!

Coffee Street Fitness & Dance