Active Rewards


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Facility Enrollment

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Contact First Name
Contact Last Name
Contact Title
Secondary Contact First Name
Secondary Contact Last Name
Facility/Organization Name
Email Address
 
Phone
 
Street Address of Organization/Facility
City
State
Zip
Are there multiple locations?
YesNo
If yes, Please enter additional zip codes
Which of the following best describes your facility? (click all that apply)
Aquatic Center/Swim School
Athletic Association
Community Center/Park and Recreation
Daycare/pre-school
Elementary School
Middle School
High School
Golf Course/Country Club
Health Club/Gym
University/Community College
Medical Facility/Hospital/Physical Therapy
Spa
Tennis Complex
Workplace fitness facility
Other
Other
Number of members or people served annually
Subscribe me to the ActiveRewards Newsletter
Yes
No
Click “submit” to enroll in the Copper Level ActiveRewards Membership. This is a no cost membership.
Premium membership levels are available for some events and organizations and guarantee a certain number of promotions annually.
Check here if you would like us to send you information about premium membership levels.
Have you ever been a member of Fitness Rewards?
YesNo