Membership Service Agreement
Schedule a Class
Membership Service Agreement
Address Line 2
State / Province / Region
ZIP / Postal Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Congo, Democratic Republic of the
Congo, Republic of the
Northern Mariana Islands
Palestine, State of
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
Virgin Islands, British
Virgin Islands, U.S.
Date of Birth
GFK Employee Name
Client’s acknowledgement and assumption of risk and full release from liability of Gauntlet Fitness, LLC (herein after refered to as GFK). Client acknowledges that the private and/or group training/nutritional service programs purchased hereunder includes participation in strenuous physical activities, including but not limited to, running, weight training, kickboxing movements, verious aerobic conditioning machinery, self defense training, and various nutritional programs offered by GFK (the “physical activities”). Client acknowledges these physical activities involve the inherent rick of physical injuries or other damages, including but not limited to, heart attacks, muscle strains, pulls or tears, broken bones, shin splints, heat exhaustion, knee/foot/lower back injuries, and other illness or soreness, or injury, however caused, occuring during before, during, or after client’s participation in the physical activities. Client further acknowledges that such ricks 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 client, slip and/or fall by a client, or an unknown health issue of a client. Client agrees to assume all risk and responsibility arising from participation in the physical activities. Client affirms that client is in good physical condition and does not suffer from any disability that would prevent or limit participation in the physical activities. Client acknowledges that participation will be physically and mentally challenging and client agrees it is the responsibility of the client to seek competent medical advice regarding any concerns or questions concerning the ability of client to take part in the GFK physical activities. By signing this agreement client affirms that he/she is capable of participating in the physical activities. Client agrees to assume all risk and responsibilities for exceeding his/her physical limits. Client, on behalf of client, his or her heirs, assigns and next of kin, waives any claims against and releases GFK (as well as any of its owner, employees, or other authorized agents, including independent contractors) from any and all liability, claims, and/or causes of action that client may have for injuries or other damages of any kind, including but not limited to, punitive damages arising out of participation in GFK activities, including but not limited to, the individual and/or group training/nutritional programs and the physical activities.
By checking this box you acknowledge that you have read, understood and agree.
Office Use Only
The Membership Service and Release of Liability Agreement (the “Agreement”) is between Gauntlet Fitness Kickboxing and you, the Client (individually, if you are the Client, and/or as agents or guardian of the Client). It is agreed between Gauntlet Fitness Kickboxing and the Client that Client is purchasing, for the benefit of the Client, a fitness program membership, from Gauntlet Fitness Kickboxing according to the terms on the front and reverse side of this service agreement. EFT Request and Authorization: Client hereby authorizes Gauntlet Fitness Kickboxing or its assigns to make periodic charges or withdrawal (“EFT Authorization”) from the account used to pay the initial payment described herein or replacement account designated by Client and accepted by Gauntlet Fitness Kickboxing for payment of any and all fees, late charges, costs, expenses, or any other monies due to Gauntlet Fitness Kickboxing under the terms and conditions of the Agreement. Client understands that client is entitled to notice of all varying charges and withdrawals under the EFT, but client waives the right to receive prior notice for charges or withdrawals made with respect to any uncollected payments or portions of the balance due described above and the corresponding service charges, both of which client agrees are not varying charges or withdrawals. Client may change the account designated herein upon thirty (30) day written notice to and approved by Gauntlet Fitness Kickboxing. Client may timely notify the financial institution in control of Client’s account to terminate this Request. Such termination will constitute a default and may cause all sums under this Agreement to be due and payable immediately together with all costs of collection to extent permitted by law. Gauntlet Fitness Kickboxing or its assigns reserves the right to add the following fees to the client’s account balance should any of the following occur. Re-submit unpaid EFT draft-ten dollars ($10.00), unpaid EFT draft (after re-submitted) fifteen dollars ($15.00), unpaid customer check – fifteen dollars ($15.00). Payments received more than ten (10) days after the due date are assessed a late fee of fifteen dollars ($15.00).
By agreeing to participate in the Gauntlet Fitness Kickboxing Private and/or Group Training/Nutritional Program service and related activities, agrees to release Gauntlet Fitness Kickboxing (GFK) from liability due to participation. By signing this agreement Client acknowledges that the Client has read, understood, and agrees with all terms and conditions of this agreement (including the additional terms and conditions on the reverse side). This agreement constitutes the entire agreement of the parties and no other agreement or understanding exists between the Client and GFK. GFK had made no express or implied warranties of misrepresentations other than those expressly set forth in this agreement to induce Client to enter into the agreement. Any conflict between the original agreement and any copy of the original agreement shall be controlled by the original agreement.
Terms of this agreement is:
And moving to package auto renew on:
Thank you for your interest in our Black Friday-Cyber Week special.
We are offering, during this period only, 3 specials:
$69 G90 Program for Current Members
$50 5 CLASS SPECIAL (new clients)
New Years Resolution Special -90 Days for $299 -Includes Gloves, Wraps, Shirt, and Gym Bag
Black Friday-Cyber Week Special
$69 G90 Program
$50 5 CLASS SPECIAL
New Years Resolution Special
This iframe contains the logic required to handle Ajax powered Gravity Forms.