Sign Up for an Account
Contact Information
First Name
*
Last Name
*
Email Address
*
Password
*
Show Password
Address 1
*
Address 2
City
*
Postal Code
Contact Phone
*
Emergency Contact Information
Emergency
Contact
Name
*
Emergency
Contact
Phone
*
Personal Information
Do you want to automatically be included in challenges?
You can change this setting any time by visiting the Edit My Profile section under My Account.
Yes, I want to automatically be included in challenges.
Credit Card Information
Card Number
Cardholder's Name
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Referred by
*
Another Client
Flyer
Internet
Newspaper
Radio
Yellow Pages
Additional Information
*
I've read the below Pre-Exercise Questionnaire and confirm that i can answer 'no' to all 8 questions asked
Yes, I'd like to receive email updates
Yes, I'd like to receive mobile updates
*
By checking this box you agree to FitMetrix by MINDBODY to collect your biometric data such as but not limited to heart rate, calories, watts, RPM, etc.
*
I agree with Power Up Terms and Conditions of Service
Create Account
Saving, Please Wait...