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Tuesday :: Feb 7th, 2012 :: 1:04 pm
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Membership Questionaire

Create Your Username & Password
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Completing this form will help us customize a wellness and fitness program that best meets your needs.
    1. Have you been cleared by your doctor to participate in a physical fitness program?   If so, do you have any limitations or disabilities?   If "Yes," please explain here:


    2. Are you new to resistance training and other fitness activities?   If "Yes," please explain here:


    3. Tell us a little about yourself and your current day-to-day lifestyle.


    4. Have you tried any weight loss programs?   Tell us why you were successful or unsuccessful:


    5. Are you currently a member of a fitness club or enrolled in a fitness program?   If so, list the name and location.


    6. What is the main goal you would like to achieve with an AnyWhereFitness™ program?

Your Contact Information:
    7. I would like to receive responses at this email address: [required]


    8. First Name: [required]


    9. Last Name: [required]


    10. Phone Number: [required]


    11. Best time to call (daytime preferred): [required]

Privacy Policy
AnyWhereFitness.com knows how important your privacy is to you, and we appreciate you trusting us to handle your personal information responsibly and with integrity.   The information we gather is used to provide you with a good experience and to help us improve our service for you.   This document describes AnyWhereFitness.com's privacy policy and practices.   Please note that you are accepting the practices described in this Privacy Policy by visiting and using AnyWhereFitness.com

Our Commitment
AnyWhereFitness.com is committed to protecting the privacy of our clients and businesses.   Since we collect certain types of information at the time our service is used, we have created this policy to let our users know what information we collect, how the collected information is used to benefit our users, and how we protect the information that is provided to us.   Rest assured, the privacy of our clients and businesses is of utmost importance to us, and AnyWhereFitness.com will make every effort to ensure that our users are effectively informed and protected.

Business Protection
To become a Participating Facility or affiliate Independent Fitness Professional with AnyWhereFitness.com, interested parties must provide us with contact information.   Contact information submitted for account administration purposes is considered strictly confidential and will not be shared with clients without consent.

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