Thank you for your interest in CHB Sports, Inc.!

Please fill out the form below to have one of our Membership Specialists contact you regarding our current promotions and membership specials.

Fields marked with * are required

Contact Information:

*First Name: *Last Name:

*Email: *Phone Number:

General Information:

*What would you like to do?

*Which club are you interested in?

How did you hear about us?

Internet / E-mail
Direct Mail
Newspaper
Radio Advertising
Word of mouth / Referral
Goals & Expectations:

What are you trying to achieve?

(check all that apply)

Lose weight / tone
Gain weight and/or add muscle
Increase energy
Increase flexibility
Rehabilitation
Stress relief
Enhance sports performance
Social interaction

Do you currently belong to Colonial Fitness or Flying Hills Fitness?

Do you currently belong to another club?

If yes, how much per month do you currently spend for your
membership?

Are you interested in personal training?

What amenities do you think that you will want to take advantage of?

(check all that apply)

Group exercise
Cardio equipment
Strength equipment
Team sports/leagues
Racquetball
Child Care
Children's Classes
Afterschool Program/ Tot Lot
Wallyball
Yoga/ Pilates
Juice Bar

What company do you work for?

Are you a student?

Do you have any additional comments?

 
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