Clone of Fitness 101 Membership Agreement

Fitness 101 Membership Agreement

Month-to-Month
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method

PhoneText MessageEmail
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*

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Date*

MonthDayYear
Date
Additional Family Guest

NoYes
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method

PhoneText MessageEmail
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*

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Date*

MonthDayYear
Date
Additional Family Guest

NoYes
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method

PhoneText MessageEmail
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*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Additional Family Guest

NoYes
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method

PhoneText MessageEmail
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*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Additional Family Guest

NoYes
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method

PhoneText MessageEmail
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*

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Date*

MonthDayYear
Date

Membership Type

Month to MonthPlease provide 30-days notice of cancelation

$65.00 for each month

Month to Month +1 Additional Family GuestPlease provide 30-days notice of cancelation

$110.00 for each month

Month to Month +2 Additional Family GuestsPlease provide 30-days notice of cancelation

$155.00 for each month

Month to Month +3 Additional Family GuestsPlease provide 30-days notice of cancelation

$200.00 for each month

Month to Month +4 Additional Family GuestsPlease provide 30-days notice of cancelation

$245.00 for each month

Silver & Fit / Active & FitPlease provide your Fitness ID in the Comments field below.

$ Free for each month

Credit Card

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