Apply for Membership in Dopamine Clubhouse

Please complete the form below as a first step in the Dopamine Clubhouse application process. If approved to continue, you will hear from a member of our team within a few days. Memberships are all-inclusive and start at $180 per month.

First Name *

Last Name *

Email *

By adding my email I consent to receiving emails from Dopamine Clubhouse regarding my membership, class updates and exclusive offers. You may unsubscribe at any time.

Cell Phone *

By adding my phone number I consent to receiving text messages and calls from Dopamine Clubhouse regarding my membership and updates. Message and data rates may apply. Reply STOP to opt out at any time.

Dopamine Clubhouse all-inclusive memberships (training, nutrition) coaching) starts at $180 per month. Is this level of investment in your health something you are prepared to make now? *

Yes

No

How did you hear about us? (select all that apply) *

Existing Member

Word of Mouth

Social Media

Email

Event

Other

Why are you interested in joining the clubhouse? (select your top 3_ *

To improve overall health

To lose weight

To learn how to train

To build muscle

To boost energy

Seeking social connects

Enhance athletic ablities

Other

What days/time are you interested in? (choose all that apply) *

I am open to any time available

Weekday Mornings 5a

Weekday Evening 4p

Weekday Evening after 5p

Weekday Evening after 6p

Weekday Evening after 7p

Weekends Mornings 7a

Weekends Mornings 8a

Weekends Mornings 9a

Just here for open Drop-In classes when available.

If the days/times you selected are NOT available would you still like to be contacted with what is available *

Select an option

How soon are you looking to join? *

Personal Social Media Links

Please share a bit about your background, your interest in wellness, and how you see yourself contributing to the Dopamine Clubhouse.

I agree to receive text messages from Dopamine Clubhouse at the mobile number provided above. Messages may include customer support responses, training session appointment reminders, any and all gym updates. Message frequency varies. Msg & data rates may apply. Consent is not a condition of purchase or service. Reply STOP to unsubscribe at any time. Reply HELP for help.

I consent

I agree to receive text marketing messages from Dopamine Clubhouse at the mobile number provided above. Messages may include special offers and marketing promotions on trainings, nutrition and anything offered specifically by or from Dopamine Clubhouse. Message frequency varies. Msg & data rates may apply. Consent is not a condition of purchase or service. Reply STOP to unsubscribe at any time. Reply HELP for help.

I consent