FREE ONE WEEK PASS
2900 Plank Road
Altoona, PA 16601
(814) 946-1668
PLEASE PRINT THIS OUT AND BRING IN WITH YOU
TO RECEIVE FREE WEEK
First______________________ Last____________________________________
Street________________________________________________________________
City__________________________ Zip Code________________________
Phone________________________ Birth Date_______________________
Waiver
On behalf of myself, my executors, and assignees, herby waive and release XPRESS Women's Health Club and all of its employees and officers from any and all obligations and liabilities which may result from my use of the facilities and programs of XPRESS Women's Health Club.
Signature_____________________________________ Date___________________
*This pass may be used one-time only and is for non-members age 21 and older. Must reside in a 25 mile radius of XPRESS Women's Health Club to utilize this pass. (Proof required)