Emergency Contact: Relationship: Phone:
I, , request that I be enrolled in GetMo’Fit fitness class. The applicant is covered by our family medical insurance and is capable of participating in the class. I authorize the directors of the class to act for me according to their best judgment in an emergency requiring medical attention other than that maintained by the class for which services I shall pay.
*Please note that if you have any conditions that prevent you from participating in group training sessions, personal training may be a better option for you.
|Change in Membership Form And Billing Contract
I understand that my credit card will be charged the 1st of the month every month in my payment cycle until I notify GetMo’Fit of any changes through this form. I will notify GetMo’Fit in writing by the 15th of the previous month with any changes. I understand that there are no refunds once a charge to my credit card is made on the 1st of every month- no exceptions. If I need to change the membership package or credit card information on file, I will contact GetMo’Fit in writing to make any upgrades or downgrades to membership. I understand billing is automatic and I will be charged the first of every month unless cancelled 2 weeks prior to the 1st of the next month.
READ CAREFULLY - THIS AFFECTS YOUR LEGAL RIGHTS
In exchange for participation in the activity of GetMoFit organized by Molly McHugh ("GetMoFit"), of 250 Black Rock Tpk., Fairfield, Connecticut, 06825 and/or use of the property, facilities and services of GetMoFit, I agree for myself and (if applicable ) for the members of my family, to the following:
1. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by GetMoFit, or the employees, representatives or agents of GetMoFit.
2. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge GetMoFit for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of GetMoFit, whether caused by the fault of myself, my family, GetMoFit or other third parties.
3. I agree to indemnify and defend GetMoFit against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of GetMoFit.
4. I agree to pay for all damages to the facilities of GetMoFit caused by my or my family's negligent, reckless, or willful actions.
5. Any legal or equitable claim that may arise from participation in the above shall be resolved under Connecticut law.
I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.