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Application Form

Your journey towards a healthy integration of work and life has just begun. [Sigh, Smile, Relax]

Our application process is meant to help us learn about you, your family and your needs, all memberships will be tailored to your unique requirements.

Did you know that all of our packages include a complimentary unlimited spin and fitness class membership to Peloton® (a $696 annual value!) ? A world class fitness offering you will finally have time to take advantage of!

Step 1 of 8

12%

About You

Please select your location:

New Jersey

Rhode Island

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City ZIP Code

What is your current occupation?

We offer a 10% military & first responder family discount. Does your family qualify for this?

Yes

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Your Email Address(Required)

Enter Email Confirm Email

Your Phone(Required)

Best Time to Call You(Required)

Do you want to add a spouse, partner or caregiver to your application?

Yes

Spouse, Partner or Caregiver Information

Name

First Last

What is their current occupation + employer?

Will they be utilizing our coworking | fitness facilities?

Yes

Kiddos

Will we be including any kiddos in our child development program?

Yes

How many children?

Child 1 Info

Child 1 Name

First Last

Child 1 Date of Birth

Month

Day

Year

Which age group will Child 1 be applying to?

Note that we will assign your room based on development and age, so please select the age group you think is closest to that of your child:

Child 2 Info

Child 2 Name

First Last

Child 2 Date of Birth

Month

Day

Year

Which age group will Child 2 be applying to?

Note that we will assign your room based on development and age, so please select the age group you think is closest to that of your child:

Child 3 Info

Child 3 Name

First Last

Child 3 Date of Birth

Month

Day

Year

Which age group will Child 3 be applying to?

Note that we will assign your room based on development and age, so please select the age group you think is closest to that of your child:

Preferred childcare Schedule + Hours:

Please enter your estimated needs in order for us to best tailor your membership. Example: "Looking for 2-3 full days per week" or "Looking for 3 afternoons per week" etc. We will be in touch about options and availability. If we do not have what you are looking for, you will be added to our waiting list. All memberships include unlimited coworking and fitness access. Infant through Preschool Half days: 8am-12pm, 2pm-6pm Full days: 8am-6pm *minimum 2 half days per week

Preferred Schedule

💡 We currently have full and part time availability in some age groups. We will be in touch with you about available options based on your preferred schedule and start date.

When is your ideal start date?

MM slash DD slash YYYY

Members willing to commit to a 12 month membership may be moved to the top of the wait list. Is this something you would be interested in?(Required)

Yes

Application Fee

In order to submit your family's application and ensure your space on our waitlist (if necessary) we require a one time $28.00 fee. We never store your card number or CVC number You can pay with these cards: Mastercard, Visa, American Express, J C B, Diners Club Secured by Stripe.

Application Fee

Price: