Professional Documents
Culture Documents
Agreement
Agreement
(613) 707-5543
_________________________________________________________________________________________________________________________________
Primary Phone Number Cell Phone Driver’s License Number
ext:
_________________________________________________________________________________________________________________________________
Employer Work Phone In Case of Emergency, Call (Name) Emergency Phone
make the Scheduled Payments according to the terms set forth 6. Total Amount Due Today: ________________
$ 0.03
by this agreement. This agreement may be cancelled at any time DEFAULT AND LATE PAYMENTS: Should you default on any payment obligation as called
with a 30 day written notice delivered to the club’s address, after for in this agreement, the club will have the right to declare the entire remaining balance due
and payable and you agree to pay allowable interest, and all costs of collection, including
the first 30 days of membership is completed. The member will but not limited to collection agency fees, court costs, and attorney fees. A default occurs
when any payment due under this agreement is more than ten days late. A SERVICE
be required to make any Scheduled Payments that are due within FEE WILL BE CHARGED IMMEDIATELY FOR ANY CHECK, DRAFT, CREDIT
CARD, OR ORDER RETURNED FOR INSUFFICIENT FUNDS OR ANY OTHER
the 30 day notice to cancel. REASON. SHOULD ANY MONTHLY PAYMENT BECOME MORE THAN TEN DAYS
PAST DUE, YOU WILL BE CHARGED A LATE FEE. If the Member is paying monthly
dues by electronic funds transfer (EFT), the club’s billing company, ABC Fitness Solutions,
X TERM AGREEMENT AUTOMATIC RENEWAL PROGRAM:
LLC, reserves the right to draft via EFT all amounts owed by the member including any
Provided the Member is not in default of this agreement and and all late fees and service fees. Subject to appropriate State and Federal Law. NOTE:
Members paying monthly dues by EFT are subject to $10.00 per month increase of
subject to the terms and conditions hereof, the membership will monthly dues if EFT payment is stopped or changed. This will not affect any other
provisions of this agreement.
automatically renew at the rate of $_______,
9.99 on ______________.
03/01/2025 Notwithstanding any other provisions of this Agreement, you understand and agree that the
Cancellation of Renewal and\or any additional Payment Schedules amount of your monthly membership dues is based on current sales tax rates and to the
extent such rates should increase during your membership, the club has the right to increase
set forth by this agreement, will require a 30-day written notice your monthly membership dues by the amount of such increase. If you have requested
the privilege of paying your monthly dues by pre-authorized electronic funds transfer, the
delivered to the club’s address. The member will be required to monthly amount so transferred will be adjusted to reflect any increase in the sales tax rate.
make payments that are due within the 30 day notice to cancel. 1st Pay. Schedule : DUES Monthly Installment
Number Monthly Payment
of Payments Payment Amount Due Date
PAID IN FULL or NON-RENEWAL: This is a non-transferable
11 $ 9.99 04/01/2024
membership that will expire on the term obligation date.
2nd Pay. Schedule :
Number Monthly Payment
An Annual Membership fee of $_______
49.99 will be billed on of Payments Payment Amount Due Date
$
______________
04/01/2024 and each year thereafter.
NOTICE: ANY HOLDER OF THIS AGREEMENT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD
ASSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH THE PROCEEDS
HEREOF, RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.
If you provide us with more than one method of payment, you authorize us to charge any amounts you may owe us including, but not
limited to, any membership-related obligations, personal training, small group training, retail transactions, and/or online purchases
to any form of payment which you have provided us until such time as you revoke your authorization for that method of payment by
written notification delivered to your home club in person or via certified mail to your home club.
Owen Kolaczek
CLUB REPRESENTATIVE MEMBER
PLEASE ATTACH A VOID OR BLANK CHECK
REQUEST FOR PREAUTHORIZED PAYMENT REQUIRED FOR ALL
I/We hereby request the privilege of paying to ABC Fitness Solutions, LLC (“The Company”), Sherwood, AR 72124, and further authorize the Company to draw items
(checks, electronic fund transfers, charge card) for the purpose of paying said payments, including any late fees or service fees, on the account of
EFT AND CREDIT CARD
Payment Method: __________________
Credit Card DRAFT ACCOUNTS
BANK NAME ROUTING NUMBER (9 DIGITS) ACCOUNT NUMBER ACCOUNT TYPE ACCOUNT OWNER
03/01/2024
Date ____________________ Account Holder Signature _____________________________________________________________________________________________
FOR ALL BILLING INQUIRIES, PLEASE CALL ABC FITNESS SOLUTIONS AT: 1-888-827-9262
abcfitness.com
30206 EAE 20231004
ADDITIONAL TERMS AND CONDITIONS
1. HOURS OF OPERATION. Hours of operation will be subject to change from time to time, at the Club’s sole discretion, without recourse by the
Member according to periodic postings at the Club. The Club may be closed on holidays at the Club’s sole discretion.
2. CLUB CHECK-IN. Upon entering the Club, all Members are required to present their active membership card, or driver’s license or other government
issued picture identification. use of their facilities or may charge a guest fee for use of the facilities for that day.
3. GUEST PRIVILEGES. All in-town and out-of-town guests will be charged a guest fee of $10.00, which fee is subject to change.
4. EXERCISE CLOTHING. Members are required to wear proper workout attire. No jeans, dress clothes or scrubs. Members are further required to wear
soft soled gym shoes at all times in the exercise area. No flip flops or sandals. No other type of clothing will be permitted without specific approval of
the Club’s manager. Swimsuits are not allowed in the exercise area.
5. EQUIPMENT MALFUNCTIONS. Member understands that the equipment may, from time to time, be out of order. When special factory parts must be
ordered, some units may be out of order for several weeks. When this occurs, the Member agrees to follow a regulated substituted program.
6. UNAVAILABILITY OF FACILITY OR SERVICES. Should the Club or all of the services no longer be available at the location at which member enrolls
due to fire, condemnation, loss of lease, act of God, catastrophe, or sale, the Club will have the right, at its option, to extend the Member’s membership
for a period of time of such unavailability, or at the Club’s option, Member may be transferred to another similar Health Club facility within 5 miles of
the Club address stated on this Agreement.
7. NO CHILDREN ALLOWED WITHIN THE GYM AREA AT ANY TIME. Children shall be allowed only in the child care designated area, if offered.
8. COMPLIANCE WITH RULES AND CONDUCT OF MEMBER. Member agrees to be subject to the control and guidance of the Club staff while on
the premises and will follow instructions of Club personnel. Member agrees to conduct him or herself in a quiet, well-mannered fashion while on the
premises and reserve all criticism of any major kind about other Club members, guests, or Club personnel until in a private office with Club manager.
Member agrees to obey all rules and conditions of membership contained in this Agreement and other rules as published which may vary depending
on the Club location and services offered. The Club may change the rules and conditions of membership without notice at any time. Any such changes
will be published by the Club. At the Clubs sole discretion, the Club reserves the right to revoke or terminate membership if the Member fails to keep
and obey any such rules and regulations.
9. DAMAGE TO FACILITIES. Member agrees to pay an extra charge for damage arising from any careless use of equipment, or dropping of weights,
etc., caused by member.
10. PERSONAL PROPERTY. Members should not bring valuables, including money, onto the Club premises or parking areas. The Club, the entity
owning the Club, and the agents and employees of both shall not be responsible for damaged, lost or stolen articles of clothing or any other personal
property of any member or guest.
11. AMENDING OF RULES. The Club reserves the right to amend, add and/or adopt new rules and conditions at the Club’s sole discretion as it may
deem necessary for the proper management of the Club.
12. WARRANTIES. Member agrees that no warranties, representations or agreements of merchantability, fitness for a particular purpose, or otherwise,
express or implied, were made to Member except for those written therein or in writing, signed by an officer or the corporation owning the Club.
13. MONTHLY MEMBERSHIP FREEZING. The Buyer/Member agrees to pay $5.00 per month freeze fee by the payment method identified by Buyer/
Member at the time of the membership freeze. The Club reserves the right to discontinue the ability to freeze any membership at any time without
notice and without recourse by Member.
14. GUEST PRIVILEGES. Members with a Guest Privileged Membership (VIP or other program named by Amped Fitness) may bring a guest 18 years
of age or older to use the Club during staffed hours while the Member is present in the Club. Guests may not use the Club without checking in and
being present with the Member. Guests must follow all rules and regulations of the Club and may be excluded from some of the Club’s facilities.
Guests may be required to surrender a driver’s license or state issued identification to enter the Club. Members under the age of 18 (eighteen) will
not be allowed to bring a Guest to the Club.
15. SERVICE DESK AREA. No members are allowed behind the service desk.
16. FOOD/BEVERAGE RESTRICTIONS. No alcoholic beverages or controlled substances, including anabolic steroids, are allowed on the premises of
the Club. No food items to be consumed in the facility.
17. WEIGHTS; EQUIPMENT USE. Weight plates must be returned on the weight racks after each use. Please DO NOT lean the weight plates against the
equipment or lay them on the floor or against any walls. Members must rerack weights, spray/wipe down equipment after use and must use equipment
with respect. No slamming cable stacks, weights, launching dumbbells or dropping weights from above the knees. Members will be charged with the
cost of anything broken in the facility that we deem irresponsible behavior.
18. LANGUAGE/HYGIENE. Club policy prohibits all members and guests while on the premises from offensive body odor; loud, foul or slanderous
language; badgering or harassing other members or Club employees, agents and contractors. Threatening or violent conduct is prohibited on Clubs
premises.
19. PERSONAL INFORMATION. Information and material of a personal or private nature that is acquired directly or indirectly from a buyer or Member
including but not limited to, answers to tests or questionnaires, photographs, or background information, may be returned by the seller to the buyer
by regular mail within thirty days after the expiration of the agreement or after the expiration for any reason of the service to be rendered by the Club.
20. WARNING. If you have a history of heart-related disease, you should consult a physician before purchasing a Membership. A person entitled
21. INVALID PROVISION. The provisions of this Agreement are serviceable. If any provision of this Agreement is declared to be void, invalid or
unenforceable, it is the intention all parties to this Agreement that the remainder of the Agreement will remain valid and enforceable.
22. PAYMENT LIABILITY. If more than one Buyer is signing this Agreement, each Buyer is jointly and severally responsible to fully perform all obligations
under this Agreement. It is Buyer’s responsibility to know whether this Agreement is in default for non-payment or any other reason.
23. NO WAVER OF RIGHTS. Club does not waive its rights to have future payments made when due if Club accepts a late or partial payment or delays
the enforcement of its rights on any occasion.
24. MEMBERSHIP ACCESS. Member agrees to not grant access to anyone at any time to the facility. If Member grants access to anyone they agree to
a $50 charge to their account and loss of their membership.
25. ALTERNATIVE PAYMENT METHOD. If you decide to pay your monthly dues by a alternative payment method than what is currently used for your
automatic monthly billing, we must receive your payment by the alternative payment method prior to the next scheduled payment due date.
26. ADDRESS CHANGES. Member agrees to notify the Club of any mailing address changes within 10 days of such change.
27. UNCASHED/REPLACEMENT CHECK FEE. In the event Member does not cash a refund check within 30 days of the issue date, the Club reserves
the right to accrue a $5.00 per month service charge for each and every month thereafter. Additionally, in the event a replacement refund check is
requested by member, for any reason, the accrued and unpaid service charge amount will be deducted before reissuing the replacement refund
check. A $25.00 Stop Payment fee may also be assessed for the termination of the original refund check before issuing the replacement check.
28. REFUNDS. The Processing Fee are non-refundable except as otherwise provided in this Agreement. These fees are not prepaid sum for services; it
merely entitles you to buy services by paying monthly dues and other applicable charges.
29. PHOTO RELEASE. Member hereby agrees to allow Club to use Member’s photos, images or likeness in any photos or videos used by the Club for
marketing.
30. PHOTOGRAPHY. Members cannot film workouts or use photographers in the Club facility without written permission from ownership.
31. LIQUID CHALK. Liquid Chalk may be used but must be cleaned after use. $50 clean fee will be charged to the member per occurrence of leaving
residue. Member agrees to be billed if caught.
32. DRINKS. No drinking containers without lids or straws will be permitted on the floor or cardio equipment. Nothing bigger than a shaker cup shall be
permitted on cardio equipment.
33. MUSIC. No radio, phone or any music playing devices of any kind playing audio outside of headphones.
34. LOCKERS; LOCKER ROOM. Members may use lockers only during their workout and the lock must be removed taken by the Member when leaving
the Club. Any locks left on until the next day will be cut off and locker items will be tossed. Locker room clean up, supplement spills, shaving, makeup,
soap must be cleaned after use.
35. WATER FOUNTAINS. Members shall no not use or put supplements on water drinking fountains.
36. VIP MEMBERS. Only VIP members are able to use bootcamp areas, tanning, multi club access. VIP guests are only permitted to use the main gym
space when VIP members check them in and may not arrive prior to member. VIP guests do not have access to VIP member privileges.
37. NO OUTSIDE PERSONAL TRAINING OF ANY KIND. Membership will be revoked if getting trained by anyone other than an AMPED FITNESS
Personal Trainer and NON AMPED FITNESS TRAINER will be banned from all AMPED FITNESS facilities.
38. KEYTAGS. A complementary barcode keytag for door access will be provided to new members. If the keytag becomes damaged from use, a new one
will be provided free of charge. If it is lost, the replacement cost is $2.