Start Here

ABHF Membership Questionnaire

Save time, sign up online!
NOTE: Minors & Ascension associates are not eligible to sign up online.
Complete this page, then move ahead to billing

Answer basic health questions
View important terms prior to activation & payment
Move on to step 2

Basic Info

Date of Birth*

Name (first, last)*

Email*

Health Survey

Let's make sure you're ready to work out... (Required)

Do you have a bone or joint problem that could be made worse by a change in your physical activity?*

Yes
(If yes, you will need to provide a medical clearance note from a physician. Stop here and see our staff.)
No

Has your doctor ever said that you have a heart condition, and that you should only do physical activity recommended by a doctor?*

Yes
(If yes, you will need to provide a medical clearance note from a physician. Stop here and see our staff.)
No

Has your doctor ever said that you have a heart condition, and that you should only do physical activity recommended by a doctor?*

Yes
(If yes, you will need to provide a medical clearance note from a physician. Stop here and see our staff.)
No

Do you feel discomfort in your chest when you do physical activity?*

Yes
(If yes, you will need to provide a medical clearance note from a physician. Stop here and see our staff.)
No

In the past month, have you had chest discomfort when you were not doing physical activity?*

Yes
(If yes, you will need to provide a medical clearance note from a physician. Stop here and see our staff.)
No

Are you at risk of falling due to dizziness or loss of consciousness?*

Yes
(If yes, you will need to provide a medical clearance note from a physician. Stop here and see our staff.)
No

Are you a part of a corporate group? [Please let us know which company you belong to!]

Company (if applicable)

Discount ID (upload OR bring in)

Browse

Are you joining a primary member? [type primary member's name]

Primary (if applicable)

Terms*

I certify that the above information to be true and accurate to the best of my knowledge.

I am aware that I am NOT yet a member, and that I will need to complete billing in step 2 (the link will be presented to you after completing this form)

I'm aware that senior, add-on & corporate discounts are subject to review & verification (membership changes may apply if information is inaccurate)

I, the undersigned, agree to the terms above.

Event Registration Software by RegFox