Required fields are marked with asterisks (*)

Fitness Centre Membership Form

Name

Date of Birth

Address

Telephone Number

E-mail Address

Emergency Contact

Emergency Contact Telephone Number

Medications

Medical Condition(s)

Orientation Required?

Yes

No, Declined

Membership Type

New

Renewal

Membership Rates

All Pricing includes HST

Note: Membership does not include a guest.

Fitness Centre

Adult: Age 18+
Senior: Age 65+
Youth: Ages 13-18
Student: Ages 19-25 with valid student card
Family*: Minimum of two (2) adults and maximum of four (4) persons
Staff: Permanent Full-Time, Part-Time & Casual with the Township of Asphodel-Norwood

*All family members shall have the same permanent place of residence

Note: Replacement Cards $20.00

Studio Space

Monthly Rental: Maximum of eight (8) one-hour rentals

Multi Month Rental: Minimum of three (3) months (price is per month)and a Maximum of eight (8) one-hour rentals

Note: 10% discount to renters if in possession of a Semi Annual or Annual membership

Membership cancellation requests will be considered on a case-by-case basis.

Studio Space

Hourly Rental: $33.90

Monthly Rental: $240.00

Multi Month Rental: $232.00

Not Applicable

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