Special Membership Form – Body Alive Fitness

First & Last Name

Place of Work/Education

Cell Phone Number

Email Address

Please select your membership: *

In order to qualify for the 6 weeks for $36 promotion, you must be a new student or have not been in the studio in the last 60 days.

Please Confirm Charge: *

Check here to confirm that you have a Body Alive account and authorize Body Alive to charge your credit card on file for the amount of your selected promotional option above (plus 6% sales tax for Kentucky members). If you do not have a Body Alive account, you can create one by clicking "Login" in the upper right corner.

Terms and Conditions *

Check here to indicate that you have read and agree to the terms and conditions of service.