Fit at America Center Membership Form Name * First Name Last Name America Center II * Aruba Bill.com HPE McAfee View Glass Email * Work Phone * (###) ### #### Emergency Contact Name * Emergency Relation * Emergency Contact Phone * Personal Information (Optional) Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Physician Name Physician Phone (###) ### #### Physician Address Address 1 Address 2 City State/Province Zip/Postal Code Country Fit At AC - Registration Membership Agreement * Please read our FitAtAC - Registration Membership Agreement *OPEN IN SEPERATE TAB* I acknowledge that I am legally competent, have carefully read the Membership Agreement, and fully understand its terms. I am aware that this is a full and final release of all claims and liabilities that I may have against America Center and the Releases. I consent Thank you for registering for the Fitness Center at America Center II.
