Just Move Fitness Membership Registration Form

*Just Move Fitness* Group Training Membership Registration (VIRTUAL ONLY)

Please complete the form below to activate your membership
Member Name*

First NameLast Name
Birth Date (ages 5+)*

DayMonthYear
Parent or Legal Guardian (if applicable)

First NameLast Name
Phone Number:*

Area CodePhone Number
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
E-mail (for invoicing)*
Address:*

Street Address

Street Address Line 2

City

Zip Code
What month/day would you like to activate your membership (pending payment). *If membership begins AFTER the 1st of the month, your first month dues will be prorated *

DayMonthYear
Date
Do you have any injuries, previous injuries, or medical conditions that I should be aware of before you begin an exercise program?*

NoYes (Please enter details)
Medical Conditions/injuries/previous injuries:
Payment Policy and Membership Rules:
Are you able to pay monthly dues using "Zelle?"

YesNo
If no, what method of payment will you be using?
I understand that monthly dues need to be paid by the last day of each month preceding the month of service (example: February dues need to be paid by January 31st). I understand that the prefered payment method is "Zelle." If "Zelle" is not available, check by mail or other arranged payment can be accepted. I understand that there is a $10 registration fee applied to the first month's dues. I understand that this is a membership paid monthly, so if the membership needs to be paused or frozen, there will be a reinstatement fee when the membership starts again. I understand that the reinstatement fee will be waived for the first pause/freeze on my membership, but after that, there is a $10 reinstatement fee applied to the first month I start my membership again. I understand that there are no refunds for classes I am unable to attend. I understand the use of "On Demand" services are for myself and those who live in my household, and I will not give my account information to anyone outside of my home. I understand that if I decide to subscribe to "On Demand," payment is set up through automatic drafts through a 3rd party (Vimeo OTT) and not through "Just Move Fitness." Any financial assistance you need for "On Demand" should be directed to "Vimeo OTT."
I have read and understand the payment policy and Membership Rules
Privacy Policy

photo/video release
I understand that "Just Move Fitness" is a virtual business where others joining in the small group classes will be able to see me during the workouts. I am 18 years of age or older and agree to these terms.I understand that photos and videos will never be taken during class for marketing/social media purposes UNLESS Autumn Nelson gets verbal or written permission beforehand.Participant is under the age of 18, however, parent or legal guardian agrees to these terms.
Disclaimer and Waiver of Liability
I understand that I am voluntarily participating in physical exercise that can be strenuous and subject to risk of serious injury during PRIVATE OR SMALL GROUP TRAINING. "Just Move Fitness" urges you to obtain a physical examination from a doctor before beginning any exercise or training program. I agree that by participating in ANY physical exercise sessions or personal training activities with Autumn Nelson/Just Move Fitness, that I am exercising at my own risk. I recognize that exercise is not without some risk to the musculoskeletal system (e.g. sprain, strain) and cardiorespiratory system (e.g. dizziness, fainting, abnormal heartbeat, discomfort in breathing, abnormal blood pressure response, and in rare instances, heart attack or stroke). I acknowledge that not all risks are listed and not all risk can be known in advance. I HEREBY release Autumn Nelson/Just Move Fitness from any physical or psychological injury that I may suffer as a direct result of my participation in the aforementioned activity. I further agree to be financially responsible for any medical treatment needed as a result of my participation in small group classes or one on one Personal Training sessions with Autumn Nelson/Just Move Fitness. I am aware and understand that I should carry my own health insurance. I understand that if this waiver is for a minor, the above stated "I" is referring to the adult legal guardian of participant.
I have read, understood, and accept the disclaimer and liability waiver and sign it of my own free will
Signature of Member or Legal Guardian*

Clear
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*Just Move Fitness* Group Training Membership Registration (VIRTUAL ONLY)

Payment Policy and Membership Rules:

Privacy Policy

Disclaimer and Waiver of Liability

Just Move Fitness Group Training Membership Registration (VIRTUAL ONLY)