Membership Sign-up Form

This form is for people interested in signing up for monthly membership with Keenan Family Chiropractic.  Remember you don't need to be a member to come in for a visit.  Membership means you can come in as often as you like for an adjustment at absolutely no cost outside of the $110 monthly membership fee.   Signing up on our site DOES NOT mean you owe us any payment right now.  It's merely to save you time on paperwork when you decide to stop in.


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