Thank you for making the step to a healthier you! We welcome you to Pink Hill Wellness & Education Center. If you are not yet a member and wish to become one, please complete the form below by filling in the appropriate fields. Once finished, click the SUBMIT button at the very bottom of the form. In the meantime, if you have any questions please feel free to email us or call the Center at 252-568-2425.

List Other Family Members If Joining Under The Family/Couple Plan

(2 adults per plan maximum)

GENERAL RULES The Pink Hill Wellness and Education Center is a nonprofit organization committed to putting Christian principles into practice through programs that build a healthy spirit, mind, and body and as such expects its members to respect everyone (children and adults) in the PHWEC facility. Use of obscene language, stealing, fighting, vandalism, breaking in, and/or carrying or concealing a weapon is strictly prohibited and will result in a 1-year suspension from membership without refund of unused membership dues. Food or drink, with the exception of bottled water, is not allowed outside of the commons area. Children under the age of 16 are not allowed in the weight room without orientation and permission from the wellness staff and their parents. Children between the ages of 12 and 15 must receive an orientation from the PHWEC staff in order to use any of the cardio equipment. Any damage done to the equipment due to misuse or abuse will be the responsibility of the individual or parent. There is a 2-hour limit to use of the nursery or youth room and parent must sign the child in and out. Parents/guardians are required to stay on campus.

MEMBERSHIP AGREEMENT Members are required to pay dues monthly through a draft (credit/debit card) or pay 6 months in advance. Membership will not be renewed until all payments are paid in full. Annual payment may also be made for the cost of 11 months. Bank/Credit Card drafts will come out on the joining date and subsequent months thereafter. I understand that if, for any reason, my bank/credit card company refuses to honor a monthly draft that my membership will be terminated until such a time as all fees are paid in full.

I, [the applicant] for this membership agreement, warrant the truthfulness of the information provided in this application.


Pink Hill Wellness & Education Center
301 S. Pine St.
Pink Hill, NC 28572


Pink Hill Wellness & Education Center || 301 S. Pine St. || Pink Hill, NC 28572 || 252-568-2425

© Pink Hill Wellness & Education Center 2019 || Pink Hill Wellness & Education Center is a Registered 501(c)(3)