Open Enrollment - Courthouse Club FitnessCourthouse Club Fitness

GROUP CLASSES
SCHEDULES CLASSES AGE SERIES
TRAINING
TRAINING OPTIONS FREE TRIAL
CLUBS
WEST SOUTH BATTLE CREEK LANCASTER KEIZER HOURS & AMENITIES Membership Options
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2023 Open Enrollment

( https://courthousefit.com/open-enrollment/)

Name*
First Last
Email*
Phone*
Home Club*
Date of Birth*
MM slash DD slash YYYY
Are you currently on an insurance membership?*
Please list your NEW Insurance Company name.*
Please list your NEW Fitness ID Number
Do you have a partner or spouse with insurance changes?*
Spouse Name*
First Last
Spouse Date of Birth*
MM slash DD slash YYYY
Please list your NEW Insurance Company name.*
Please list your NEW Fitness ID Number*