Gym Registration Form: Google Form Template

Gym Registration Form

Gym Registration Form is useful for enrolling new members online for a gym. It collects contact information of a prospect and detail information regarding membership including payment detail.

Description of Gym Registration Form

This form has seven section. First section in this form asks to write Name of the applicant.

Next sections expects to write your e-mail address.

Next section expects you to write your available Membership Start Date. Format accepted is mm/dd/yyyy.

Next section expects you to choose in any option of the following membership duration. Options are 1 Month, 3 Months, 6 Months, 1 Year, 2 Year, Lifetime and Other.

Next section expects you to choose in any option of the following Payment Type. Options are Cash in full, Direct Debit, Credit Card, Cheque, DD Initial Fee and Other.

Next section expects you to select in any option of the following pre-existing medical conditions. Options are Diabetes, Heart Disease, Chest Pains, Shortness of Breath, Broken Bones, Allergies, Recent Childbirth, Heart Murmur, Pneumonia, Epilepsy, Tachycardia, Oedema, Heart Attack, Recent Surgery, Palpitations, High Blood Pressure, Low Blood Pressure, Asthma, Seizures, Fainting and Other.

Last section asks Please add any additional Medical Notes. Users may write their own opinion as an answer to this note.

Complete the Gym Registration Form and click submit.

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