Hero/Student Form

To be filled out by Membership Consultant or General Manager

"*" indicates required fields

Staff Member*

Specify who is filling out this form.

Applicant Name*

Email*

Phone*

What location did you sign up at?*

McCarthy (North)

Quance (East)

Pasqua (South)

Key Tag #*

Date*

High School Student?*

Yes

Picture of Photo ID*

Accepted file types: png, jpg, jpeg, pdf, Max. file size: 5 MB.

Notes

Name

This field is for validation purposes and should be left unchanged.

306-545-4653 Ext. 1
358 McCarthy Blvd. N.
Regina, SK, S4R 7M2
Fitness Centre Hours
Mon-Fri: 5:00AM – 11:00PM
Sat-Sun: 7:00AM – 8:00PM
Holiday Hours

306-545-4653 Ext. 2
3615 Pasqua Street
Regina, SK, S4S 6W8
Fitness Centre Hours
Mon-Fri: 5:00AM – 11:00PM
Sat-Sun: 7:00AM – 8:00PM
Holiday Hours

306-545-4653 Ext. 4
2121E Quance Street
Regina, SK, S4V 3L9
Fitness Centre Hours
Mon-Fri: 5:00AM – 11:00PM
Sat-Sun: 7:00AM – 8:00PM
Holiday Hours