New Memberships No Contract

Name

First NameLast Name

DOB

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example@example.com

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Membership

$99.00 PER MONTH – BLUE MAT MEMBERSHIP. Includes unlimited classes in person and live stream, eating plan and supplement plan. (no contract) 30 day cancellation.$54.00 PER MONTH- LIVE STREAM MEMBERSHIP. Includes unlimited live stream classes, eating plan and supplement plan. (no contract) 30 day cancellation.$74.00 TEACHERS RATE- Incudes unlimited classes in person and live stream, eating plan and supplement plan. (no contract) 30 day cancellation.

I, First Name Last Name , hereby authorize Garza’s Strength and Fitness Factory/TLC Fitness, Inc/SHK Consulting LLC to charge my credit card, debit card or bank account any and all payments due to TLC Fitness, Inc/SHK Consulting LLC as indicated below. I further authorize my credit card company or bank to make payments(s) to Garza’s Strength and Fitness Factory/TLC Fitness, Inc/SHK Consulting LLC by the method(s) indicated below and to post it to my account.

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FOR BILLING QUESTIONS please e-mail membership@travisgarza.com or call 405-694-1849

CANCELLATION POLICY Garza ’s Strength and Fitness Factory member MUST give 30-day notice of cancellation by emailing membership@travisgarza.com. Just let us know you want to cancel and give us 30 days from date submitted. I understand I am responsible for all membership fees and charges to my account through that date. Please note: Even if you notify your instructor of your intent to cancel, you are still required to email membership@travisgarza.com with your want to cancel. Save a record of your submitted “Cancellation If at any time your account is not paid per this membership agreement for more than 2 months it is turned over to our collections department then there will be a $250 collection fee charged to your account. I certify that I have fully read and understand this Agreement and will comply with the contents herein.

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GARZA'S STRENGTH AND FITNESS FACTORY MEMBER/PARTICIPANT ACKNOWLEDGMENT AND ASSUMPTION OF RISK AND RELEASE FROM LIABILITY OF GARZA'S STRENGTH AND FITNESS FACTORY/SHK CONSULTING LLC/TLC FITNESS INC/SHK CONSULTING LLC.

PARTICIPANT ACKNOWLEDGES THESE PHYSICAL ACTIVITIES INVOLVE THE INHERENT RISK OF PHYSICAL INJURY OR OTHER DAMAGE, INCLUDING, BUT NOT LIMITED TO, HEART ATTACKS MUSCLE STRAINS, PULLS OR TEARS, BROKEN BONES, SHIN SPLINTS, HEART PROSTRATION, KNEE/LOWER BACK/FOOT INJURIES AND ANY OTHER ILLNESS, SORENESS, OR INJURY HOWEVER CAUSED, OCCURRING DURING OR AFTER PARTICIPANT PARTICIPATION IN THE PHYSICAL ACTIVITIES. GARZA'S STRENGTH AND FITNESS FACTORY MEMBER FURTHER ACKNOWLEDGES THAT SUCH RISKS INCLUDE, BUT ARE NOT LIMITED TO, INJURIES CAUSED BY THE NEGLIGENCE OF AN INSTRUCTOR OR OTHER PERSON, DEFECTIVE OR IMPROPERLY USED EQUIPMENT, OVER-EXERTION OF A GARZA'S STRENGTH AND FITNESS FACTORY MEMBER, SLIP AND FALL BY GARZA'S STRENGTH AND FITNESS FACTORY MEMBER OR AN UNKNOWN HEALTH PROBLEM OF GARZA'S STRENGTH AND FITNESS FACTORY MEMBER. GARZA'S STRENGTH AND FITNESS FACTORY MEMBER AGREES TO ASSUME ALL RISK AND RESPONSIBILITY INVOLVED WITH PARTICIPATION IN THE PHYSICAL ACTIVITIES. GARZA'S STRENGTH AND FITNESS FACTORY MEMBER AFFIRMS THAT GARZA'S STRENGTH AND FITNESS FACTORY MEMBER/PARTICIPANT IS IN GOOD PHYSICAL CONDITION AND DOES NOT SUFFER FROM ANY DISABILITY THAT WOULD PREVENT OR LIMIT PARTICIPATION IN THE PHYSICAL ACTIVITIES. GARZA'S STRENGTH AND FITNESS FACTORY MEMBER ACKNOWLEDGES PARTICIPATION WILL BE PHYSICALLY AND MENTALLY CHALLENGING, GARZA'S STRENGTH AND FITNESS FACTORY MEMBER AGREES THAT IT IS THE RESPONSIBILITY OF GARZA'S STRENGTH AND FITNESS FACTORY MEMBER TO SEEK COMPETENT MEDICAL OR OTHER PROFESSIONAL ADVICE, REGARDING ANY CONCERNS OR QUESTIONS INVOLVED WITH THE ABILITY OF MEMBER/PARTICIPANT TO TAKE PART IN GARZA'S STRENGTH AND FITNESS FACTORY ACTIVITIES. BY AGREEING TO THIS AGREEMENT. GARZA'S STRENGTH AND FITNESS FACTORY MEMBER/PARTICIPANT ASSERTS THAT HE OR SHE IS CAPABLE OF PARTICIPATING IN THE PHYSICAL ACTIVITIES. GARZA'S STRENGTH AND FITNESS FACTORY MEMBER AGREES TO ASSUME ALL RISK AND RESPONSIBILITY FOR NOT EXCEEDING HIS OR HER PHYSICAL LIMITS.

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I hereby grant Garza's Strength and Fitness Factory /SHK Consulting LLC/TLC Fitness LLC permission to interview me and/or to use my likeness in photograph(s)/video in any and all of its publications and in any and all other media, whether now known or hereafter existing, controlled Garza's Strength and Fitness Factory in perpetuity, and for other use by Garza's Strength and Fitness Factory. I will make no monetary or other claim against Garza's Strength and Fitness Factory for the use of the photograph(s)/video.

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BY SIGNING THIS YOU AGREE TO THE TERMS ABOVE.

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Date

PAYMENT INFORMATION MUST BE COMPLETED TO BECOME A MEMBER!

WE WILL CONTACT YOU BY PHONE TO RECIEVE YOUR PAYMENT INFORMATION.

PLEASE FILL OUT THE HEALTH EVALUATION ON THE NEXT PAGE.

Memberships No Contract

AUTOMATIC PAYMENT AUTHORIZATION: