Directions:

  • Fill out form below.
  • Print out form.
  • Submit form.
  • Call us at 504-362-2200 or email us at info@manhattanathletic.com to set up an appointment to validate this pass.

Note:  Without an appointment, pass will not be validated.
Take this printed, filled out pass with you to your appointment.

Restrictions:

  • Must be 18 years of age.
  • Must be a local resident.
  • Valid only on your first visit.
  • Please call for an appointment.
An asterisk * indicates a required field.
*Date:
*Employer:
*Name:
*Address:
*City:
*State:
*Zip Code:
*Home Phone:
*Work Phone:
*Email Address:
 
Manhattan Athletic Club
4162 Manhattan Blvd
Harvey, LA 70058
504-362-2200
Email Us