Application Form

First Name

Last Name

Phone *

Email *

Applicant Type

Yourself

Someone Else

Membership applying for:

Hybrid Membership (6 visits/month)

Unlimited Membership

Student Membership

Please describe your current financial situation and briefly explain why you are seeking assistance through the Pay It Forward Program. (e.g., specific hardship, current income level, etc. Confidentiality will be maintained.)

The Pay It Forward Program requires recipients to pay a portion (50% to 70%) of the unlimited membership fee, with the remainder subsidized by the community pool. What percentage of the full membership cost are you currently able to commit to paying monthly?

Are there other individuals in your household who rely on your income?

Yes

Are you currently receiving any other forms of financial assistance (e.g., government aid, scholarships, etc.)? (If yes, please briefly specify.)

Why are you interested in starting (or continuing) CrossFit, and why have you chosen CrossFit Anaheim specifically?

The Pay It Forward Program is built on a three-month commitment. How will you ensure consistent attendance and dedication to your fitness journey throughout this period?

What specific, measurable fitness goals do you hope to achieve in your first three months with the program?

This is a community-driven initiative. Beyond showing up to workouts, how do you intend to actively participate in and contribute to the positive and supportive culture of the CrossFit Anaheim community?

I understand that acceptance into the Pay It Forward Program requires a strict three-month commitment, after which my participation will be re-evaluated. I certify that all the information provided in this application is true and accurate to the best of my knowledge.

Clear

Applicant Signature

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.