Health & Fitness Club Partner Name * First Name Last Name Email * Club Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Club Website (if applicable) http:// Annual Dues * Please select your dues level based on 2019 gross revenues (all sites combined). You will see an option on the next page to either receive an invoice for annual partner dues based on the dues level you select, or to pay your dues online with a credit card. Under $500k - ($250) $500,000-$999,999 - ($750) $1mil-$3mil - ($1,500) $3mil-$5mil - ($3,000) $5mil+ - ($5,000) Questionnaire Thank you for sharing a bit more about your club with us. Information provided will be used to capture a better view of the health and fitness industry as a whole, especially as it relates to the impacts of COVID-19 on health and fitness clubs in Oregon. Any information provided will not be attributed specifically to your club. 1. Which club are you with? 2. How many members does your club have today? 3. How many members did your club have before COVID-19? 4. How many employees does your club have today? 5. How many employees did your club have before COVID-19? 6. How have you shared your new health and safety standards with members? 7. Are there specific things your club is doing to go above and beyond the health and safety requirements of the state? If so, please explain. 8. What services do you provide in addition to fitness? (Ex: restaurant, childcare, personal training, tennis, spa, physical therapy, etc.) 9. How can OHFA best support your club during this time? Please provide us with any additional information about your club and/or membership needs. Check here if you would like us to add your logo to the Partner page. Please email your hi-res logo to: Contact@Oregonfitnessalliance.com Yes, Please add our logo Agree to the Oregon Health & Fitness Alliance Pledge by checking each box * As part of the OHFA, our business pledges to deliver long term health benefits to keep our state healthy while adhering to the following principles: Professionalism: We will conduct our business professionally and ethically while remaining courteous to and respectful of our members, employees, other fitness businesses as well as local and state governing bodies. Compliance: We will comply with all laws, regulations and guidelines set forth by governing bodies in regards to the health and fitness industry for the safety and health of all Oregonians. We will continue to apply stringent safety and sanitation guidelines and ensure that our staff is trained and our members comply with guidelines. Collaboration: We will work with our members, employees, other fitness businesses and the Alliance to create an environment that fosters collaborative work and promotes healthy lifestyles. Accountability: We will act with integrity, honesty and transparency to move our organization, and our industry, forward. Advocacy: We believe that gyms and health clubs are a vital part of the healthcare continuum. We will serve as strong advocates for the fitness industry at all levels of government to educate elected officials regarding the benefits of regular exercise and the importance of having ample opportunities to exercise safely in all neighborhoods, in all corners of the state.