I am interested in becoming a member of the HCU Bradshaw Fitness Center BFC Membership Form Please fill out the following form and we will contact you with more information about membership at the Bradshaw Fitness Center. Name* First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile Phone*Other PhoneEmail* How did you hear about us?* My Areas of Interest: CrossFit Altus Senior Fitness Aquatics Personal Training Court Sports Group Exercise (Zumba, Yoga, Functional Exercise classes and more) Nutrition/Weight Management Specialized Exercise Classes ( yoga for arthritis, balance and strength, and more) Warm Water Exercise (indoor pools) Pilates Reformer Classes Indoor Walking Track Strength Training Membership Level: Standard Membership Senior Membership Corporate Membership CommentsThis field is for validation purposes and should be left unchanged.