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 NameThis field is for validation purposes and should be left unchanged.