Free Trial Request Form

Please Note The Following:

Our team at Chop Shop Physiques will reach out to you regarding your free trial. If approved, we will email you instructions on how to use your trial at any of our locations. Free trial periods begin immediately following approval, please wait until you are ready to start before filling this form out. Anyone under the age of 18 must come to the facility in person, during staffed hours, with a parent or guardian to request a free week trial.

Primary Member Name*

Primary Member Email Address*

Phone Number*

Address*

Emergency Contact Person(Full Name)*

Emergency Contact Phone Number*

Date of Birth*

Please upload a photo of your government-issued ID for age verification.

🛈 We collect this information to verify you meet our gym's age requirements outlined in our Terms & Conditions. Your ID will be securely stored and used only for this purpose. By uploading, you consent to our Privacy Policy.

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Max file size 10MB.

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Your cancellation request has been submitted. We will reach out to you via email to confirm your cancellation.

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