Clone of Fitness 101 Membership Agreement

Fitness 101 Membership Agreement

Month-to-Month
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method
Waiver of Liability

By signing below, I agree that the use of Fitness 101 facilities shall be undertaken at my sole risk. I am at least 14 years of age, in good physical health, and suffer no physical impairment which renders use of Fitness 101 facilities unduly dangerous. I hereby waive and release Fitness 101, its officers, employees, and agents from all such liability and related claims, whether or not based on negligence or other fault. I further agree to indemnify Fitness 101 from any injury to my guests.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Family Guest
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method
Waiver of Liability

By signing below, I agree that the use of Fitness 101 facilities shall be undertaken at my sole risk. I am at least 14 years of age, in good physical health, and suffer no physical impairment which renders use of Fitness 101 facilities unduly dangerous. I hereby waive and release Fitness 101, its officers, employees, and agents from all such liability and related claims, whether or not based on negligence or other fault. I further agree to indemnify Fitness 101 from any injury to my guests.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Family Guest
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method
Waiver of Liability

By signing below, I agree that the use of Fitness 101 facilities shall be undertaken at my sole risk. I am at least 14 years of age, in good physical health, and suffer no physical impairment which renders use of Fitness 101 facilities unduly dangerous. I hereby waive and release Fitness 101, its officers, employees, and agents from all such liability and related claims, whether or not based on negligence or other fault. I further agree to indemnify Fitness 101 from any injury to my guests.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Family Guest
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method
Waiver of Liability

By signing below, I agree that the use of Fitness 101 facilities shall be undertaken at my sole risk. I am at least 14 years of age, in good physical health, and suffer no physical impairment which renders use of Fitness 101 facilities unduly dangerous. I hereby waive and release Fitness 101, its officers, employees, and agents from all such liability and related claims, whether or not based on negligence or other fault. I further agree to indemnify Fitness 101 from any injury to my guests.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Family Guest
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method
Waiver of Liability

By signing below, I agree that the use of Fitness 101 facilities shall be undertaken at my sole risk. I am at least 14 years of age, in good physical health, and suffer no physical impairment which renders use of Fitness 101 facilities unduly dangerous. I hereby waive and release Fitness 101, its officers, employees, and agents from all such liability and related claims, whether or not based on negligence or other fault. I further agree to indemnify Fitness 101 from any injury to my guests.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Membership Type

Month to Month

Please provide 30-days notice of cancelation

$65.00 for each month

Month to Month +1 Additional Family Guest

Please provide 30-days notice of cancelation

$110.00 for each month

Month to Month +2 Additional Family Guests

Please provide 30-days notice of cancelation

$155.00 for each month

Month to Month +3 Additional Family Guests

Please provide 30-days notice of cancelation

$200.00 for each month

Month to Month +4 Additional Family Guests

Please provide 30-days notice of cancelation

$245.00 for each month

Silver & Fit/Active & Fit

Please provide your Fitness ID in the Comments field below

Free for each month

Renew Active/One Pass

Please provide your Member Code in the Comments field below

Free for each month

Credit Card

Comments
Should be Empty:

Fitness 101 Membership Agreement

Membership Type*

Credit Card

Membership Type