Club Name
Contact Name
Email Address
Street Address
Street Address 2
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City

If within the U.S.

State Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code

If outside the U.S.

Territory/State
Postal Code

Phone Number
Website URL

Start Date
End Date

Participation must be a minimum of 30 days. 60 days is recommended.

Age Restrictions 11 12 13 14 15 16 17 18 19 to 11 12 13 14 15 16 17 18 19

Age range should be teen-specific. The recommended age range is 13-19.

Other Restrictions

Please include any other restrictions, guidelines, or specifications for your gym and the free membership. Take into account things such as hours of operation, non-inclusive programs and dress code.

The following Guidelines have been established for Clubs to participate in the 2008 "Teen Fitness Connection" Free Summer/Holiday Membership Program for Teens:

• Minimum Requirements
• Participation Criteria — Ages 13 to 17 (it's recommend to include up to Age 19)
• Suggested times of club availability are from club opening to 4:00 p.m.
• The Club shall provide each teen with a basic Orientation into their facility
• The Club shall charge no "add-on" fees or extra charges
• There shall be no sales solicitation of the teen's parents or the registrant
• There shall be no restrictions (i.e. the participating teens shall enjoy the same benefits as full paying members)
• Parental consent is required upon registration
• The Club must provide adequate programming and insurance
• Suggested dates June 15th thru August 31st (this may vary by region and/or country)
• The Club shall provide a minimum of a free 30 day membership for each registered teen
• All visits end August 31st , or the last day of summer vacation for the schools in your area (this may vary by region and/or country)

I have read and agree to the participation guidelines.

You entered an invalid age range.

You must agree to the participation guidelines of the Teen Fitness Connection program in order to participate.

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