Fitness Center at UH Avon Health Center

Request Membership Information

Thank you for your interest in the UH Fitness Center in Avon. If you would like to learn more, please fill out the following questionnaire:

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP Code

Email Address

Home Phone

Mobile Phone

Employer

How did you hear about us?

If referred by a current member, please indicate who.

Would you like to:

If other, please specify:

Are you interested in membership for a spouse and/or dependent children (ages 15-18)?

What fitness areas are you most interested in (check all that apply)?

Aquatics/Pool

Basketball

Cardiovascular Training/Equipment

Group Exercise

Other

Racquetball/Squash

Strength Training/Equipment

Walking/Running

If other, please specify:

How would you like us to contact you?

Please complete the following CAPTCHA:

I'm not a robot