WFF Month to Month Memberships

Member Information
First & Last Name: Primary Member*
Email (Person 1)*
Mailing Address (Full address needed)*
Phone Number (Person 1)*
DOB (Person 1)*
Emergency Contact*
Name
*
Phone Number
Type of Membership*
The Senior 65+, College Student and High School Student memberships may be set up for monthly billing or for cash payments. Additional information may be found under "Membership", viewable here: http://www.warriorfitnessbarlow.com/membership.html)
Release of Liability
Liability:

I/We hereby understand and acknowledge that the training, programs and events held by the WFF may expose me to many inherent risks, including accidents, injury, illness, or even death. I/We assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, and all other such risks being known and appreciated by me. I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I/We acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and the WFF furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE the WFF, its officers, agents, employees, organizers, representatives, and successors from any responsibility, liabilities, demands, or claims of any kind arising out of my participation in the WFF training, programs and/or events. By my signature I/We indicate that I/We have read and understand this Waiver of Liability. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.
Billing and Payment Information

Payment required prior to activation of membership account. Cash payments are accepted at the front desk or via the black cash drop box (located on the merchandise shelf). Card payments may be accepted, please contact us to complete.
Term:

Today's purchase is for a one month membership only with an option to renew each month or any time thereafter.

Inactive memberships may be renewed at any time, please see the front desk or pay via cash drop box.
Payment Type*

CashCheckCardBill Me Monthly
Do you and all names on this membership agree to the terms above? By clicking yes, you are providing a digital signature for all peoples listed.*

All names on this form agree with terms above.We do not agree with the terms above (Will void membership).
Complete bank information fields for "Bill Me Monthly" option only.
Routing Number (From a Check)
Account Number (From a Check)
Key fobs for the gym may be picked up during staffed desk hours; please visit our Facebook page for posted hours or send us a message for more instructions/information . You can also contact us via email at warriorfitnessbarlow@gmail.com (FB messaging is our fastest contact method).
Additional Information
Did someone refer you? If not, leave empty. If yes, please type their name here.
Signature(s)
PLEASE TYPE YOUR FULL NAME(S) BELOW (FIRST MIDDLE LAST) TO ACT AS YOUR SIGNATURE. ALL PARTIES MUST SIGN.
Person 1 Signature:*
If under 18 years old, please have a parent or guardian sign below.

PLEASE TYPE YOUR FULL NAME(S) BELOW (FIRST MIDDLE LAST) TO ACT AS YOUR SIGNATURE. ALL PARTIES MUST SIGN.
Parent/Guardian Signature:
Should be Empty:

Member Information

Release of Liability

Billing and Payment Information

Additional Information

Signature(s)