(Gym / Studio Name)
Facility Address:
Phone: Email:
Name:
Address:
Phone: Email:
Date of Birth:
Membership Plan:
Monthly Rate: $ Start Date:
Billing Cycle: (monthly / annual)
Initiation Fee: $
Member agrees to pay the above fees on a recurring basis via the payment method on file. Payments are due on the of each billing cycle. Late payments may incur a fee of $ .
Member may cancel this agreement by providing days' written notice. Cancellation requests must be submitted in writing (email or in-person). Any prepaid, unused membership fees will be refunded in accordance with applicable state law.
Members may freeze their membership for up to days per year. A monthly freeze fee of $ may apply.
Member acknowledges that physical activity involves inherent risks. Member agrees to the terms of the separate Assumption of Risk & Liability Waiver provided by the facility.
This agreement constitutes the entire understanding between the member and the facility. Modifications must be in writing and signed by both parties. This agreement is governed by the laws of the state of .