Colonial Fitness & Sports Center Survey
RequiredRequired Question(s)
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.

What are your main interests?  How can we help you?

Weight Loss
Group Ex
Strength Training
Personal Training/Small Group Training
Racquetball/Wallyball Court Sports
Child Activity Center Care
After School Program
Summer Day Camp
Corporate Employee Discount Program
Nutritional Supplements
Other  
  • Comment:

  • 500 characters left.
3.

Type of Membership I am interested in: 

Individual
Couple
Family (children between 12-16 must be accompanied by an adult)
4.

If you selected "Corporate Employee Discount Program" above, please answer the question below.

I work for a company with 5 - 20 employees
I work for a company with 20 - 40 employees
I work for a company with 40+ employees
Other  
  • Comment:

  • 500 characters left.