Membership Request Form

Start your free trial week or sign up for full membership.

Personal Information

Full Name *

Email Address *

Phone Number *

Gender

Age Group *

Nationality

Address

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Programs of Interest

Clean Streets Program CrossFit Resurgence (CPR) CrossFit Soldier Support CrossFit Dragon Warriors Guardian Angels Boxing

Waiver & Release of Liability

Express Assumption of Risk

I, the undersigned, am aware that there are significant risks involved in all aspects of physical training. These risks include, but are not limited to, falls, equipment failure, strains, sprains, physical contact, and the negligent acts or omissions of myself or others.

I willingly assume full responsibility for the risks that I am exposing myself to and accept responsibility for any injury that may result from participation in activities or classes at, or under the direction of, Pottstown Athletic Club.

Release of Liability

In consideration of participating, I release Robert Matthews, Pottstown Athletic Club, and their principals, agents, employees, volunteers, and associates from claims related to my participation, to the fullest extent permitted by law.

I accept the terms of the waiver