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Student Membership – Signup
Student Member – Membership Information
Name
(Required)
First
Last
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mobile Phone
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Emergency Contact Information
PLEASE NOTE: For Family and Couples Memberships, each member will have to provide this information along with their signed waiver before they will be assigned a key fob.
Name of Emergency Contact
(Required)
First
Last
Mobile Phone of Emergency Contact
(Required)
Agree to Terms & Conditions
(Required)
I have read and agree to the Terms & Conditions.
Click here this link to read the Liability Waiver. (Opens in a new tab)
https://theboneyardbarbell.com/terms-conditions/
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