Moses Fitness Paperwork
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  • Moses Fitness

  • To establish membership, the member agrees to pay an initiation fee of $40. This fee is nonrefundable.

    Monthly Membership Options

    • Basic Membership - $37
    • Family Memberhsip - $33 per adult
    • Minor w/ Family Merbership - $25 per minor 
    • 55+, Teacher, Retired Military - $31 *
    • Active Military, Police, Fire, EMS - $21 *
    • College Student - $30 *

    *ID Required for discounts.  Sales tax will be added to monthly membership dues during monthly bank autodraft.  

    Membership dues will be collected by bank autodraft on the 4th for Cross Plains Location, 8th of the month for Clyde. All members must provide Electronic Funds Transfer information. In the event we are unable to collect payment electronically, the member will be notified and payment must be made by other means, no later than the 10th to maintain membership privileges. Dues must stay current at all times or the membership will be suspended or terminated. Memberships that are returned more than twice the fee will be increased $45 (plus tax) per month until autodraft is re-established. Membership fees are subject to change.

    This autodraft authorization is to remain in effect until Moses Fitness has received a completed Cancellation Form from 30 days before the membership is to be cancelled. 

    The Cancellation Form is provided my Moses Fitness electronically upon member request.  The cancellation will not be processed until the Cancellation Form is completed and submitted by the member.

    Fitness Center Membership Application and Agreement

    I/We desire to become members of Moses Fitness and hereby provide the following information:

    All paperwork, including the signup process in its entirety, will be processed during the following hours.  Any and all information received outside of these hours will be processed the following day.

    Monday - Friday (8AM - 7PM)

    Saturday (9AM - 5PM)

    Sunday (2PM - 5PM) 

  • 4. DOB of Member #1*
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  • DOB of Member #2
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  • DOB of Member #3
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  • DOB of Member #4
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  •  Members Health Warranty: The member warrants and represents that the member or any family member or guest entitled to us the facilities of Moses Fitness und the terms of membership, has no disability, impairment, or ailment preventing him/her from engaging in active or passive exercise, or be detrimental or adverse to such person’s health, safety or physical condition if he/she so engage or participate. The member acknowledges and agrees that:

    1. Moses Fitness will rely on foregoing warranty in issuing the membership

    2. Moses Fitness shall have no obligation to perform a fitness assessment or similar test to determine the member’s physical condition

     3. If any fitness assessment or similar testing is performed by Moses Fitness, it is solely for the purpose of providing comparative data with which the member can track progress in a program and is not for diagnostic purposes

    4.Moses Fitness shall not be liable for any injury arising out of the member’s disability impairment or ailment preventing him/her form engaging in active or passive exercise. Each member should be aware of medical history and should consult with physician prior to engaging or continuing to exercise if a medical condition appears or appears to be developing.

     LIABILITY AND WAIVER OF LIABILITY: Each member of Moses Fitness shall be liable for any property damage and/or personal injury (caused by the member, member’s family or any person that the said member of Moses Fitness allows into the facility) at Moses Fitness Facility. It shall be the obligation of the member to pay for any costs involved. Any and all use of Moses Fitness facility shall be AT SUCH PERSON’S OWN RISK and Moses Fitness shall not be liable for any injuries or damages. The member individually and on behalf of the member’s personal representative, heirs, administrators, successors and assigns, as well as its officers, agents and employees from all such claims, demands, actions, or causes of actions.

     SUSPENSION/TERMINATION OF MEMBERSHIP BY MANAGEMENT: Management has the right to suspend and/or terminate any membership for non-payment of dues, fees or for behavioral inimical to the enjoyment of the Moses Fitness facility by other members and staff for any reason deemed sufficient to the sole discretion of management.

    Access: Moses Fitness Center will provide access to the building using a barcode system and/or app system. I acknowledge that use of the barcode and /or app system system by someone other than myself may result in loss of membership or day use charge per person allowed in the gym.

  • Date
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  • We at Moses Fitness value all of our members and strive to create the best experience possible. In today's age, we understand the benefits that mobile devices can provide for your workout experience and overall fitness lifestyle. However, please be mindful of how the following situations below can negatively affect the experience of other members. We appreciate your help. Thanks

    • Music/Videos: Headphones or earbuds are required when using the audio function on a mobile device. 
    • Phone Calls: If you receive a phone call or need to make a call please step away and free up whatever piece of equipment you are using. This allows other members to better enjoy their workout experience. 
    • Texting: This is not advised while using cardio equipment as this can be very dangerous to the user. Please do not allow texting to prolong your time on a piece of equipment. This can unnecessarily delay someone else's turn on the equipment. 
    • Photos/Videos:  This is not allowed inside of Moses Fitness. 
    • Alcohol, Tobacco, & Vape products are prohibited.
  • House Rules

    1. Wear proper attire. No flip flops or work boots in the gym. Shirts must be worn at all times. 

    2. No children allowed. Membership for minors requires and adult membership and the minor will not recieve a key until the age of 16. 

    3. Wipe down machines after use.

    4. No photos,or video inside the gym.

    5. Members-only are allowed in the gym.

    6. Return all equipment after use.

    7. Rack Weights, do not leave the weight on the bar!

    8. Use of equipment is the responsibility of the member!

    9. Member is responsible for knowing his/her own limitations.

    10. WIFI Code: superman

  • I/We hereby agree to accept and abide by he terms of the Membership Agreement. I/We understand that this Membership Agreement will automatically renew unless cancelled by me( either of us). If I or we allow access to nonmembers a $10 fee will be charged to the members account for all persons allowed in to Moses Fitness facilities. 

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     AUTHORIZATION TO HONOR ACH DEBITS OR DRAFTS


    Name:*   *  

    Bank Name:*  

    Routing Number:   *  

    Account Number:   *   


    As a convenience to me, I hereby request and authorize you to pay and charge my account. Debits are withdrawn from my account and payable to the order of Moses Fitness for the amount of my monthly membership. Provided there are sufficient collected funds in said account to pay for the monthly membership. I agree that your rights in respect to each such debit shall be the same as in effect until revoked by the member in writing, and until Moses Fitness actually receives such notice I agree that Moses Fitness shall be fully protected in honoring such debits.

    If you have any questions regarding this notice please call Moses Fitness at 325-370-6678.


       


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