Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Income Level

Less than 60k

60k - 80k

80k-100k

100k+

Prefer not to answer

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Atheletic Interests

Please select your primary areas of interest

Yoga

Pilates

Tennis

Golf

How did you hear about us? *

Friend/Family

Online Search

Social Media

Advertisement

Date

MM

DD

YYYY

Code of Conduct Acknowledgement *

View the Code of Conduct here.

By selecting this box, I acknowledge that I have read and understand the Ladies Athletic Club of Atlanta’s Code of Conduct

Membership Standards & Financial Commitment Acknowledgement *

View the Membership Standards & Financial Commitment Acknowledgement here.

By submitting this application, I understand that the $85 monthly membership fee is not all-inclusive.