Member Registration

Join Ark La Creme — Complete your registration form

Personal Information

First Name *

Last Name *

Date of Birth

Address

City

Phone Number *

Email Address *

Gender

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone

Relationship

Health & Fitness Information

Medical Conditions or Injuries

Fitness Goals

Membership Options

Select Package *

Payment Duration

Other Duration (if applicable)

Payment Options

Preferred Payment Method *

M-Pesa

Credit/Debit Card

Bank Transfer

Cash (In-person)

I authorize the gym to automatically charge my selected payment method for membership renewals and other related charges. I understand that I can update or cancel this authorization at any time.

Consent & Waivers

Exercise at Your Own Risk: I understand that participating in physical activity at this gym carries risks. I agree to exercise at my own risk and acknowledge that the gym is not responsible for any injuries or health issues that may arise. I have consulted with my physician and am fit to undertake an exercise program.

Marketing Consent: I consent to receive marketing communications, newsletters, and promotions from the gym via email, SMS, or phone. I understand that I can unsubscribe at any time.

Consent to Use of Image

Yes, I give permission for the gym to use my photos/videos for promotional purposes

No, I do not give permission

I give permission for the gym to take photographs or videos of me during workouts or gym events for promotional purposes (social media, website, advertising). I understand that I will not receive compensation for the use of these images.

Personal Data Protection: I understand that my personal data will be processed in accordance with applicable privacy laws. The gym will collect, store, and use my personal data for membership management, billing, and communication purposes. I acknowledge that I have the right to access, correct, or request deletion of my personal data.

Acknowledgement

Electronic Signature (Type Full Name) * By typing your name, you confirm that you have read and understood all terms

Date *

Password *

Confirm Password *