One Week Complimentary Trial Membership - for First Time Guests!

Lee Memorial Health System Wellness Centers provide a friendly, motivating and energizing environment for your physical activities. Experience it yourself and get a great workout in the process! After filling out a few necessary questions, you will be able to print out your Complimentary Trial Membership (7 consecutive days)voucher.

First Name:
Last Name:
Date of Birth:
Address 1:
Address 2:
City:
State:
Zip:
Phone Number:
Email:
Which location:

Additional Comments:

YOUR WELLNESS GOALS:
Lose Weight	Gain Weight	Stress Reduction
Improve Endurance	Rehabilitation	Tone/Firm
Maintain	Strength Training	Group Fitness Class
Other

I am aware that my information is sent to the Membership office at Lee Memorial Health System Wellness Centers and that my personal information is completely confidential and is not released to or used by third parties. Complimentary One Week Trial Memberships (7 consecutive days) are limited to first time visitors only. Must be a local resident. Not redeemable for cash.