American Health and Fitness
Gym Location
AHF Russellville, 15567 Hwy. 43, Russellville, AL 35653, (256) 332-4771
AHF Moulton, 15125 Court Street, Moulton, AL 35650, (256) 974-1231
First Name
Middle Name
Last Name
Address
City
State
Zip
Email
Phone
Date of Birth
Age
Sex
Spouse/Legal Guardian
DOB
Employer
Work Phone
Emergency Contact
Emergency Phone
Email
Family Plan
For Family plan, List information below.
Members between 11 and 15 years old must be supervised by parent or legal guardian. No one under 11 years old allowed in cardio or weight rooms.
Name #1
Date of Birth #1
Name #2
Date of Birth #2
Name #3
Date of Birth #3
Terms and Conditions
I have read this agreement and fully understand the
Terms & Conditions
therein.
I will place towels in the laundry basket.
I will rack any weights that I use. (If you take weights to another area return them)
I will dispose of my trash.
I will wipe down equipment after use.
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