MEMBERSHIP APPLICATION

Join Fitness First Dwarka

Fill out the form below to complete your membership registration

Application Form

Please fill out all required fields accurately

Personal Information

Membership No.

Sign Up Date *

Home Club

Date of Birth *

First Name *

Last Name *

Gender *

Pin Code

Email Address *

Address *

Mobile (Primary) *

Phone (Alternative)

Membership Plan

Anniversary Date (if available)

Fee Structure

Initiation Fees

Membership Start Date *

MOM/Health SIP

Commitment Period

Amount of MOM

Mode of Payment *

Payment Frequency

Total Amount

Health Declaration

Please check all that apply:

Heart DiseaseChest PainHigh/Low Blood PressureDiabetesEpilepsyAsthmaJoint/Back ProblemsPregnantRecent SurgeryRegular Medication

Other (please specify)

Signatures

Member Signature

Parent/Guardian Signature (if under 18)

I hereby agree to the Terms and Conditions of Fitness First Dwarka. I confirm that all information provided is accurate and I understand the membership policies including cancellation terms (60-day notice required).