Please fill out the following form and we will contact you regarding this case.

Last Name:
First Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone:
Email:
What were the dates of your employment with 24 Hour Fitness?
In which states did you work for 24 Hour Fitness?
24 Hour Fitness Employee Number:
What were your positions at 24 Hour Fitness:
 Personal Trainer
Sales Counselor
Floor Supervisor
Fitness Manager
Assistant General Manager
General Manager
Operations Manager
Other Position
Did you ever work more than 8 hours in a day or 40 hours in a week?
Yes
No
Did you ever work more than 5 hours without a lunch break?
 Yes
No
Comments/Questions: