Gym Membership Application

Name*

Date of Birth *

MonthDayYear

Name (if applicable)

Date of Birth

MonthDayYear

Address*

Phone*

Email*

Emergency Contact (Name, Relationship, Phone)*

Adult Single Membership (Age 18+)

One Year: Pay $35 each monthOne Year: Prepay for full term with 20% discount (Fee=$336.00)Six Month: Pay $35 each monthSix Month: Prepay for full term with 15% discount (Fee=$178.50)Three Month: Pay $35 each monthThree Month: Prepay for full term with 10% discount (Fee=$94.50)

Adult Couple Membership (Age 18+)

One Year: Pay $55 each monthOne Year: Prepay for full term with 20% discount (Fee=$528.00)Six Month: Pay $55 each monthSix Month: Prepay for full term with 15% discount (Fee=$280.50)Three Month: Pay $55 each monthThree Month: Prepay for full term with 10% discount (Fee=$148.50)

Youth Membership (Age 14-18)

One Year: Pay $20 each monthOne Year: Prepay for full term with 20% discount (Fee=$192.00)Six Month: Pay $20 each monthSix Month: Prepay for full term with 15% discount (Fee=$102.00)Three Month: Pay $20 each monthThree Month: Prepay for full term with 10% discount (Fee=$54.00)

Johoner Gym Club Membership

Terms and Conditions

1. PROVISION. The Johonor Gym Club will provide an unsupervised exercise facility including a fitness training area with donated, used equipment such as stationary bicycles, ellipticals, treadmills and circuit training equipment, and a free weight training area. The Club will be open daily from 6:00 am to 10:00 pm. The Club and facilities may be unavailable during a period of repair and maintenance or special events, or by Management’s schedule for these events. In order to keep the facility in the best possible condition a portion of the Club may be closed for a temporary time period for repairs and renovations. There will be no adjustment in fees for this period of closure.

2. MEMBERSHIP AGE RESTRICTIONS. Membership is available to persons aged 14 to 18 when a parent has a membership in good standing. Members between those ages can use the Gym facilities with parent supervision and must complete a gym orientation before using the facilities.

3. MEMBER’S HEALTH WARRANTY. The Member warrants and represents that she/he has no disability, impairment, or ailment preventing her/him from engaging in active or passive exercise, or that will be detrimental to her/his health, safety, or physical condition if she/he does so engage or participate. The Member acknowledges and agrees that: 1) the Club will rely on the foregoing warranty in issuing the Membership; 2) the Club shall have no obligation to perform a fitness assessment or similar testing to determine the Member’s physical condition; 3) The Club shall not be liable for any injury arising out of the Member’s disability, impairment or ailment preventing her/him from engaging in active or passive exercise, or that would be detrimental to the Member’s health, safety or physical condition if she/he does so engage or participate. Each Member should be aware of her/his medical history and should consult with a physician prior to engaging in exercise or continuing to exercise if a medical condition exists or appears to be developing.

4. LIABILITY AND WAIVER OF LIABILITY. Each Member of the Club shall be liable for any property damage and/or personal injury caused by the Member at the Club or any activity or function operated, arranged or sponsored by the Club. It shall be the obligation of the Member to pay for any costs involved upon presentation of a statement thereof. Any and all use of the Club Facilities, or participation in activities operated, arranged or sponsored by the Club either on or off the Club’s premises by the Member shall be AT THE MEMBER’S OWN RISK, and the Club shall not be liable for any injuries or damages to such person, or the property of such person, or be subject to any claim, demand, injury or damages. The Member individually, and on behalf of the Member’s personal representative, heirs, administrators, assigns and successors does hereby expressly forever release and discharge the Club, its successors and assigns, as well as its officers, agents and employees from all such claims, demands, actions, or causes of action.

5. SUSPENSION/TERMINATION OF MEMBERSHIP BY MANAGEMENT. Management has the right to suspend and/or terminate any membership for non-payment of fees, or for behavior inimical to the enjoyment of the Club by other Members and staff for any reason deemed sufficient in the sole discretion of Management.

6. BUYER’S RIGHT TO CANCEL OR TERMINATE. Members have the right to cancel this contract within three (3) business days after receipt of a copy of this contract. For a three (3) day cancellation, the Club will refund all fees paid. Cancellation must be in writing and delivered to Johonor Gym Club by E-mail to: rjgymclub@gmail.com. Members may voluntarily terminate membership at any time for any reason by: 1) notifying the Club in writing by E-mail addressed to: rjgymclub@gmail.com 30 days prior to cancellation and; 2) paying all current charges prior to termination.

7. UNPAID BALANCES. All balances which are 30 days past due are subject to a $25.00 monthly service fee. In addition to other rights, Management reserves the right to: 1) collect the current and past due balance; and 2) suspend and/or terminate membership privileges if balances are not paid.

8. ENTIRE AGREEMENT. This agreement constitutes the entire and exclusive membership agreement between the parties. Any promise, representation, understanding, oral or written, pertaining directly or indirectly to the agreement which are not continued herein, are hereby waived.

ACCEPTANCE AND AGREEMENT. *

I/We hereby agree to accept and abide by the terms of this Agreement.I/We hereby authorize Johonor Gym Club to effect payment for monthly fees for the duration of my/our membership through electronic funds transfer. This authorization is to remain in full effect until Club has received WRITTEN NOTIFICATION WITH THIRTY DAYS NOTICE from me (either of us) on cancellation in writing by E-mail to rjgymclub@gmail.com.I/We understand that all Full Membership Agreements are 12-month and will automatically renew on a month-to-month basis until cancelled by the member.I/We understand that all Seasonal Membership Agreements will automatically renew on a month-to-month basis until cancelled by the member.I/We understand that my account will be charged and billed with the monthly billing unless fees are prepaid.I/We understand that Membership Fees must be current at all times or gym membership will be suspended or terminated.I/We understand that Johonor Gym Club will provide access to the Club facilities using a keyless entry system with a passcode. I/We acknowledge that supervision is not always provided at the facility. I/We acknowledge that sharing of the passcode with a non-member will result in loss of membership.I/We certify that I/we have received a copy of the Club Rules and have read and understand them.

Signature: By signing electronically, you are agreeing to the terms, conditions and agree to follow gym rules as posted*

Gym Membership Application

Membership Type