Guest Register - Release And Visit Log
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1
2GUEST REGISTER, RELEASE AND VISIT LOG
Name __________________________________________________________ Date __________________________________
Address ______________________________________________ City__________________ State________ Zip ___________
Telephone ____________________________________ Guest Of _________________________________________________
How did you hear about us? ____________________________________________________Birth Date _________ Age_____
Drivers License # ________________________
Time __________________
Paid Visits
Local residents = 3 paid visits / Out of Town = unlimited paid visits
1. ________________________________________
6.__________________________________________________
Name
Date
Name
Date
2. ________________________________________
7.__________________________________________________
Name
Date
Name
Date
3. ________________________________________
8.__________________________________________________
Name
Date
Name
Date
4. ________________________________________
9.__________________________________________________
Name
Date
Name
Date
5. ________________________________________
10.__________________________________________________
Name
Date
Name
Date
Guest Pass
1. ________________________________________
6.__________________________________________________
Name
Date
Name
Date
2. ________________________________________
7.__________________________________________________
Name
Date
Name
Date
3. ________________________________________
8.__________________________________________________
Name
Date
Name
Date
4. ________________________________________
9.__________________________________________________
Name
Date
Name
Date
5. ________________________________________
10.__________________________________________________
Name
Date
Name
Date
McLeod Health and Fitness Center
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