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Membership
Agreement
Name
__________________________________________________
Address
________________________________________________
_______________________________________________________
Phone __________________________________________________
RIGHT
TO CANCELLATION. YOU MAY CANCEL THIS CONTRACT WITHOUT
PENALTY OR FURTHER OBLIGATION BY SENDING A WRITTEN NOTICE
OF YOUR CANCELLATION TO THE ADDRESS ABOVE WITHIN THREE
(3) BUSINESS DAYS OF THE DATE OF THIS CONTRACT.
Compliance with Rules. I agree to abide by all
Fitness Center membership rules which may be posted
at the facility or issued orally and which may be amended
from time to time in the sole discretion of Bethel University.
I agree that improper unauthorized use of the facility
may result in member suspension or cancellation. Fitness
Center may suspend or cancel the rights, privileges
and membership of any member whose actions are detrimental
to the use and enjoyment of the facilities.
Initial your acceptance to abide by the Fitness Center
rules here ___________________
Cancellation Rights. You may cancel this contract
one of the following reasons by delivering written notice
of cancellation to the Fitness Center:
(a) If you move your residence or your place of employment
more than twenty-five (25) miles from the Fitness Center;
(b) Upon a doctor's order, you cannot physically or
medically receive the services because of significant
physical or medical disability for a period in excess
of one 1 month.
Payment Authorization. By signing this Agreement, you
are authorizing Bethel University Wildcat Health &
Fitness Complex ("Fitness Center") to electronically
bill your bank account or credit card for your monthly
dues (EFT, preauthorized check or credit card charge)
on a monthly basis for a period of (6) six months, and
for your convenience the automatic billing will automatically
renew every month after the initial 6 months period
at the same rate unless you tell our staff to cancel
the contract at the end of the six month contract period.
If your monthly dues are delinquent for two (2) consecutive
months, the remainder of any balance will be payable
in full to avoid interruption of services unless you
meet the requirements for cancellation above for the
monthly amount of $_______.
Initial your acceptance of the one year membership monthly
rate here _________________
Name
as it appears on credit card or bank draft:____________________________________
Credit Card # or Bank Draft information:__________________________________________
Credit Card Expiration date: _____________________________________
No Supervision. You are purchasing a membership
at a facility that allows you access at any time. As
such, you are aware that there will be no supervision
or assistance. You are also aware that if you are injured,
become unconscious, suffer a stroke or heart attack
that there will likely be no one to respond to your
emergency and that this facility has no duty to provide
assistance to you. Even though the Fitness Center is
equipped with emergency panic buttons and surveillance
cameras it is likely that should you require immediate
assistance none will be provided.
Acknowledgment of Risk and Waiver of Liability.
I voluntarily assume the risk of injury, accident, death,
loss, cost or damage to my person or property which
might arise from my use of the Fitness Center and I
agree to hold harmless and release the Fitness Center,
employees, officers, and agents from any and all liability.
I certify that I am in good physical health and I am
able to undertake and engage in the range of physical
activities in which I choose to participate. I assume
all responsibility for updating the facility with respect
to any changes in my physical or mental condition and
for reporting all injuries sustained at the facility
to the Fitness Center staff. This waiver, release and
indemnification agreement includes, without limitation,
all injuries which may occur as a result of (a) my use
of all amenities and equipment in the facility and my
participation in any activity or personal training,
(b) sudden unforeseen malfunctioning of any equipment
and (c) my slipping or falling while in the facility
or on the facility premises, including adjacent sidewalks
and parking areas. I acknowledge that I have carefully
read this waiver, release and indemnification agreement
and fully understand that it is a release of liability.
Initial your acceptance of your No Supervision and your
Acknowledgment of Risk and Waiver of Liability here
________
General. This contract represents the complete
understanding between you and the Fitness Center. No
representations, written or oral, other than those contained
in this contract are authorized or binding upon the
Fitness Center. You understand that you are obligated
to pay your membership fee regardless of whether you
use the facility. You agree to promptly update the Fitness
Center of any changes of address, phone and/or bank
account/credit card information. At the end of the term
of this membership contract, it shall continue in effect
on a month to month basis unless new rates have been
installed or you provide notice of cancellation to terminate
this contract.
I
certify that I have read and understand all of the terms
of this agreement and agree to abide by all of the terms
of this agreement.
Signature: _____________________________________________________
Date: ______________________________
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