This form is designed to help gather initial information regarding you, your desired fitness outcomes, as well as the program and sliding scale rate that you are seeking to apply for.   Please answer this as truthfully as possible, the better the information we can gather about you, the better our ability to assess your ability to qualify for sliding scale rates.  There are no wrong answers and there is no judgement for any answers.

Following our review of your application, we will reach out regarding next steps including income verification as needed.  Please keep in mind that sliding rate memberships are limited in number, you may be placed on a waiting list if no available slots exist at the time of your application.

Thank you for considering OpenBox Athletics!