Guest Registration - Bronson Athletic Club

Security code:*

Enter security code:

First Name:*

Last Name:*

Date of Birth:*

E-mail:*

Guest Waiver:*

I read and agree to the terms below.

Guest Waiver: By signing above, I represent that I am in good physical condition and have no disability, impairment or ailment that would prevent my participation in activities at the Bronson Athletic Club. I hereby waive and release any and all rights/claims and/or claims I may have against the Bronson Athletic Club and /or its employees and/or its owners for any injuries that I may suffer in connection with my visit as a guest.

Member Name:

Member Number:

This member is aware they are responsible for the actions of their guests and must be present at all times while the guest is in the club.