Get Silver Sneakerprime Application Form

This guide provides a comprehensive overview of how to accurately complete the SILVER SNEAKERPRIME Application Form online. By following these clear instructions, users can ensure they have entered all necessary information for their application.

Follow the steps to accurately complete the application form.

1. Click ‘Get Form’ button to access the application and open it for editing.
2. Enter your personal information, including your full name, address, zip code, and preferred phone number, ensuring all fields are completed accurately.
3. Provide an alternative phone number if available. This allows for better communication regarding your application.
4. Indicate your gender by selecting either 'Male' or 'Female'.
5. Fill in your age and birthdate to confirm eligibility and demographic information.
6. Enter your email address to facilitate communication regarding your application. Ensure the email is active and frequently checked.
7. If applicable, provide your spouse’s name, age, and birthdate if they are also becoming a member.
8. Input your HEALTHWAYS ID number, ensuring that all 16 digits are entered correctly to avoid processing issues.
9. Review the release and waiver of liability and indemnity agreement included with the application, ensuring you understand its terms.
10. Sign the form where indicated, along with dates and any additional required signatures for family members or guardians.
11. After completing all sections, you can save any changes made to the form. You have the option to download, print, or share the completed form as needed.

Take the next step and complete your SILVER SNEAKERPRIME Application Form online today!