Sign up - Pinnacle MMA and Fitness

Personal Details

* Required field

* First name

* Last name

Gender

* Phone Number Add secondary Phone +

Secondary Phone

* Email Address

Add secondary Email +

Secondary Email Address

Date of birth

* Parent/Guardian's name

Address

* Street address

* City

* Zip / Postal code

* State

Country

Emergency Contact

Contact Name

Phone Number

Relation

Additional Contact

Photo

* Required

Capture from camera No camera found. Please connect a camera to use this feature. Upload or use camera Upload photo

Membership

Apply Discount

Select
1 week trial

Duration 7 days

Access Unlimited

Cost FREE
Programs Boxing, Brazilian Jiu Jitsu, Kickboxing, MMA, Strength & Conditioning, Youth
Select
2x per Week

Duration Ongoing

Access 9 days

Cost $149.00 / 1 month
Programs Boxing, Brazilian Jiu Jitsu, Kickboxing, MMA, Strength & Conditioning, Youth
Select
3x per Week

Duration Ongoing

Access 13 days

Cost $189.00 / 1 month
Programs Boxing, Brazilian Jiu Jitsu, Kickboxing, MMA, Strength & Conditioning, Youth
Select
Unlimited

Duration Ongoing

Access Unlimited

Cost $219.00 / 1 month
Programs Boxing, Brazilian Jiu Jitsu, Kickboxing, MMA, Strength & Conditioning, Youth
Select
Unlimited 6 Month

Duration 6 months

Access Unlimited

Cost $1,095.00
Programs Boxing, Brazilian Jiu Jitsu, Kickboxing, MMA, Strength & Conditioning, Youth

Membership Documents

How did you hear about us?

* Required

Who referred the member to us?

More details:

Interface Language

Account Password

Please pick a password to log-in to your account later.

Password (minimum 8 characters)

Confirm Password

Payment

Select membership first

Credit Card All transactions are secure and encrypted

Payment will be provided later.

Shopping Cart

Signup

Personal Details

Address

Emergency Contact

Photo

Edit Photo

Membership

1 week trial

2x per Week

3x per Week