Dependent Add On

Add your children ages 12 through 17 to your Work Out West membership for only $15 a month per child.

Children will be removed from the account when they turn 18 and must have a full membership.

We reserve the right to ask for proof of age at any time.

Member Name as Listed on The Account*
First Last
Childs Name To Be Added*
First Last
Childs Date of Birth*
Phone*
Consent*
Age Consent
By checking this box I am swearing under penalty of perjury that my child is between the ages of 12-17.

If my child is 12 or 13 years of age I agree to hire a trainer for a weight room orientation. My child will not use the facility until that has occurred.

My dependent will be removed after the age of 18.

I will provide proof of age if Work Out West requests me to do so.
Authorization to Charge Account*
Agreement to pay
By checking this box I agree to add my dependent to my account for an additional charge of $15 per month. This will remain on the account until 30 day notice is provided at our front desk.
Primary Account Holder*
I certify that I am the account holder
By Checking this box I attest under penalty of perjury that I am the person responsible for payment on the account.
Email*

SIGN UP NOW!!!