Club Membership Sunfit Membership Registration Form First Name * Last Name Duration 3 Months 6 Months 1 Year Membership Category * Silver Membership Gold Membership Corporate Membership Kiddies Club Membership Spa Membership Membership Type * Single Membership Couple Membership Family Membership Kiddie Club Membership Spa Silver Membership Spa Gold Membership Gender Male Female Company Name Business Type * Date of Birth * Day/Month/Year Position Held Mobile Phone Number * Business Phone Number Email Address * Nationality * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d‘Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Name of Spouse Number of Children If more than one separate with comma Children's Age If more than one separate with comma Home Address Company Address Do you Smoke? * Yes No Any major operation? Yes No If yes, how much? Any restriction for exercise? Yes No If yes, what part of the body? Any regular medication? Yes No If yes, what type of medication? Do you drink? Yes No If yes, how much? What is the number one reason for beginning a new total fitness program and why is it important for you to reach your fitness goal now? What are you interested in accomplishing? Losing weight Muscle development Improve general health and fitness How much weight would you like to loss or gain? Lose What best describes your work preference? Beginner (This is your first time workout, or its being a while since you have tested workout) Intermediate (you work out once in a while, or used to workout, but know only a limited things to do) Advance (you are very experienced in working-out and/work-out frequently) What cardio activities would you or do you enjoy? Walking Running Stepper Cross trainer Biking Group Classes with aerobic/cardio What strength training/muscle would you or do you enjoy? Free Weights Weight Machines (Selectorize Machines) Resistance training (your own body training such as push ups) Group classes with strenght tranning components How would you describe your eating habits? Good Fair Need Improvement How would you describe your eating habits? Good Fair Need Improvement Are there specific areas of your body you'd like to target? Abdominal Inner thigh Outer Thigh Biceps Triceps / back of arm Chest / Pectorals What are your workout preference? Working out 3 days a week Working out 5 days a week Working out alone Working out with others in a group Do you plan to work out with a friend or family member? Yes No When was the last time you consider yourself in a good physical condition?