A Wild Physique Membership Form
  • A Wild Physique Wellness Club

    9607 Reisterstown Road Owings Mills, MD 21117 (T) 443.394.7000 (E) awildphysique@gmail.com
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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            A Wild Physique NEW YEAR SPECIAL Membership- Monthly Payments

            Monthly  Auto Payments of $10060-70 minute sessions. 90 DAY COMMITMENT REQUIRED. AFTER 90 DAYS, YOU WILL BE CHARGED REGULAR PRICE ($200). Class Times Mon-Fri 5a , 6a, 5p, 6p                        Saturday Class Times 10a Bootcamp and 11a Stretch Camp

            $100.00 for each month
              
            A Wild Physique Membership- Bi Weekly Payments

            Bi-Weekly Auto Payments of $101.50 60-70 minute sessionsClass Times Mon-Fri 5a , 6a, 11a, 5p, 6pSaturday  Class Times 8a Bootcamp and 9a Stretch Camp

            $101.50 for each two weeks
              
            A Wild Physique Membership- Monthly Payments

            Monthly  Auto Payments of $200 60-70 minute sessions Class Times Mon-Fri 5a , 6a, 11a, 5p, 6p                        Saturday Class Times 8a Bootcamp and 9a Stretch Camp

            $200.00 for each month
              
            Kids Camp ( parents welcomed)

            Classes are Monday through Friday, the kids are only working out 3x a week. Within these classes they will be exercising, learning new phrases, words, benefits of foods, and more about health and wellness. Parent’s are encouraged to workout to help motivate their child.

            $360.00 for each month
              
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          • As a customer of A Wild Physique, your privacy is important and guaranteed. Your personal information is never shared and/or distributed to outside parties. We take great precautions protecting your information using Secure Socket Layer (SSL) which is encryption technology that protects sensitive information such as credit card information. These secure networks protect personal information and only a limited number of persons with special access have rights to networks, and are required to keep information confidential. We will not sell your information.

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            Waiver / Release for Communicable Diseases Including COVID-19 ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

            In consideration of being allowed to participate in A Wild Physique workout programs and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

            1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19 and its variants. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

             2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown and assume full responsibility for my participation; and,

             3. I willingly agree to comply with the stated customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the nearest official immediately; and,

             4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HERBY RELEASE AND HOLD HARMLESS A Wild Physique and their officers, officials, and/or employees, other participants, (RELEASEES), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

             I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

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            Photography/Video Release


            Participants involved in any activities offered by A Wild Physique may be photographed or videotaped during training. The undersigned hereby consents to the use of these photographs and/or videos without compensation on the A Wild Physique website or in any editorial, promotional or advertising material produced and/or published by A Wild Physique.

             

             

          • Indemnification

            The participant recognizes that there is a risk involved in the types of activities offered by A Wild Physique. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless A Wild Physique, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from any negligent or intentional act of omission while participating in activities offered by A Wild Physique, at the main building or abroad. This includes but is not limited to parks, recreational areas, playgrounds, area adjacent to the main building, and/or any areas selected for training by A Wild Physique.

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            Cancellation 


            I acknowledge that appointment times/class times are reserved and that cancellations are not a service of A Wild Physique. I understand that I will not receive a refund for missed appointments. It is my responsibility to attend my personal training appointments/group exercise classes when they are scheduled or work with the small group/class roster I have been given, to create a scheduled switch. You must provide A Wild Physique written notice by email at AWILDPHYSIQUE@GMAIL.COM of your intent to cancel no less than (10) days prior to the due date of your next billing payment. Failure to provide timely notice will result in a charge for the full amount of your next billing payment. The cancellation will take affect the subsequent month. For example, if your billing payment is due the first day of the month, you must provide written notice no later than ten (10) business days prior to that date. If you fail to do so, you will be billed on the first day of the month for the full amount, and your contract will be cancelled as of the date of the subsequent billing payment due date. NO REFUNDS. NON NEGOTIABLE. NON TRANSFERABLE.

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            NOTICE OF CONSUMER RIGHTS 

            Our business' registration number with the State's Consumer Protection Division is 6014
            We are not required to carry a performance bond under the Maryland Health Club Services law because we do not accept more than three months' payment in advance or charge initiation fees over $200.
             If A Wild Physique is closed for a month or more, you are entitled to your choice of either an extension of the Agreement in which you signed or a prorated refund.. If the closing is not the fault of the business, we are entitled to choose.
            You have the right to cancel this Agreement within THREE (3) BUSINESS DAYS after receipt of a copy of this agreement. Cancellation must be in writing, and delivered in person or by certified or registered mail. If you cancel, you are entitled to a full refund of all monies paid. If you become disabled for at least THREE (3) MONTHS during the membership term and the disability is confirmed in writing by a physician, you are entitled to an extension of  the Agreement. Since we are exempt from the bonding requirement, we cannot collect payments during a member’s disability extension so that we are not holding more than three months' payment in advance

            This notice is an integral part of the application and contract for membership.

             

          • Payments.

            The client understands that the card on file will automatically be charged the price based on the package chosen above on a monthly or bi weekly basis OR chose the cash option and will be sent an invoice for the next month. All cash payments must be paid IN FULL PRIOR TO attending any class. 

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          • I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission, I understand that by signing this form, I am waiving valuable legal rights.
            By signing below, the signee has read, understands and agree to the above the terms.

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