Member Profile Member Profile Fill the form First Name Last Name M.I. Address Apt. No. City State Zip Home Phone: Work Phone: Date of Birth How did you hear about us? Email Facebook Would you like to receive our newsletter via e-mail Yes No Do you have any physical ailments, which limit your ability to exercise? (Please explain) Please Note: Member acknowledges, agrees and understands that weight training, aerobics and cardiovascular training can be hazardous to some individuals and may result in injury; and other aspects of weight training, aerobics and cardiovascular training may result in injury to himself or other members. Member further agrees that in consideration for permission to enter onto the premises of AL IRISH'S, member assumes all risks of injury incurred or suffered while on and/or upon the premises of AL IRISH'S and releases and agrees not to sue AL IRISH'S, Its agent, servants, associations, employees or anyone connected with AL IRISH'S for any claim, damages, costs or cause of action which member has or may have In the future as a result of injuries or damages sustained or incurred while on and/or upon the premises of AL IRISH'S Submit Now
