LA Fitness: Student Voucher Request Form

  • Please complete this form if you wish to purchase an LA Fitness Paid-In-Full/Annual/Prepaid membership. If you want to purchase an month-to-month membership you will need to do that via the YouPortal.








  • I may be eligible for the up-to $100 reimbursement from WesternU if I purchase the membership by September 1, 2021 and submit my request to University Student Affairs no later than September 1, 2021.


  • Up to three family members living in the same household can purchase a membership at the same price.