Monoliza Membership Form
Complete the form below to register and pay for your Monoliza membership. All required fields are marked with *.
Section 1
All fields are required unless noted.
A clear front-facing photo for member identification. JPG/PNG, max 4MB.
Section 2
Optional — leave blank if not applicable.
Section 3
Monoliza One is a single annual membership. Add a spouse and adult relatives below.
Plan
Monoliza One
₦1,000,000 per year
Add Spouse
+₦500,000 / year
Your spouse will be included on your member record.
Adult relatives or dependents (15+)
Add as many as you like. ₦500,000 each / year.
None added.
Children under 15
Up to 4, free, accompanied by a member adult relative.
Selected Plan
Monoliza One — Annual
Total
₦1,000,000
Section 4
Choose as many as you like (optional).
Section 5
All fields optional but recommended for your safety.
Do you have any pre-existing medical conditions?
Do you have any physical limitations that may affect your ability to participate in physical activities?
Are you currently taking any medications?
Do you have any allergies?
Section 6
Who should we contact in case of an emergency?
Section 7
Were you referred by a Monoliza staff member?
You're paying
Monoliza One · Annual
You'll be redirected to Paystack to complete payment securely. Your membership becomes active once payment is confirmed.