DATE NAME:_____________________________________ START DATE:_________________ NAME (Print) ADDRESS STATE CITY ZIP Defy Gravity 90 Day MEMBERSHIP • • • • • • • • • • • DEFY GRAVITY-LINCOLN 345 SPORTING VILLAGE DR. SUITE I LINCOLN, NE 68502 PHONE 402.817.6900 WWW.DEFYGRAVITYUSA.COM $125 Membership Fee Membership valid for 90 Days 3 credits will be rewarded on your first visit to use at your discretion Valid 7 days a week during Park Open Hours Upon first visit you will receive complimentary Defy Gravity Socks & Wristband 1 Membership per person No Refunds All Sales Are Final Walk in reservation only Walk in reservation time only available in 60 minute increments Must complete an Online Waiver Form 1. Upon arrival, please submit this membership form to the front desk associate to take part in Defy Gravity’s Membership Program. 2. Memberships are not eligible for an account freeze or delay. 3. Memberships are only valid at Lincoln location. 4. Payment must be made prior to the start date of memberships. 5. Payment made payable to: DEFY GRAVITY-LINCOLN 345 Sporting Village Dr. Suite I Lincoln, NE 68502 6. Please indicate effective start date of membership. www.DefyGravityUSA.com 345 Sporting Village Dr. Suite I, Lincoln NE 68502 402.817.6900
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