Gym Membership

Personal Information
Name:__________________________________________________________
Date of Birth:________/________/_________
Day Month Year
City:____________________________________________________________
State:___________________________________________________________
Adress:_________________________________________________________
Phone(Home):___________________________________________________
Phone(Cell/Mobile):_____________________________________________
Email:___________________________________________________________
Do you declare a disability?
Yes No
If yes please specify:____________________________________________

Where did you learm about the club?

Recommendation Advertisement Website/Online search engine Social
media Word of mouth Other
If other please specify:___________________________________________

Physical conditions:
To ensure safety and succesful program, it is necesary to know any physical conditions
that may require a change to the program. Please note any injuries or surgeries that
should be considered for ypur training program.
Year:______________
Details:____________________________________________________________________
__________________________________________________________________________
____________________
Year:______________
Details:____________________________________________________________________
__________________________________________________________________________
____________________
Year:______________
Details:____________________________________________________________________
________________________________________________________________
Emergency Contac Details
Emergengy Contac 1 Name:______________________________________
Emergengy Contac 2 Telephone:__________________________________
Relationship:______________________________________________________

Emergengy Contac 1 name:________________________________________

Emergengy Contac 2 telephone:___________________________________
Relationship:_______________________________________________________
Objectives:
You can choose several options
Health Sports performance
Physical attractiveness Fun and leisure
Other
If other please specify:_______________________________________________

Membership
Please indicate the type of membership you require:
Adult Student Disability Retired Family Couple
Membership Duration:
12 months 6 months 3 Months 1 Month

CLAUSES
FIRST. OBJECT: By means of this Contract Stark undertakes to provide the Affiliate
with the services
sports, conditioning and physical preparation (collectively the “Services”) in the
Stark fitness center according to the category, rate and plan selected by the Affiliate.
Among the services is the use of machines arranged for training, spaces
intended for exercising and entering group classes upon registration at each
Headquarters. The Services are
will provide subject to the obligations detailed in Annex II called “General Regulations
of
Services” which is an integral part of this document.
SECOND. DURATION AND VALIDITY OF THE CONTRACT: The Contract will
be valid from the date of its signature
by the Parties and its duration will depend on the Plan acquired by the Affiliate. The
plan purchased and/or chosen by the
The affiliation will be the one that appears or appears on the invoice that is delivered
when canceling the first item, either
related to affiliation, membership and/or the plan.
THIRD. VALUE: The value of the Contract will depend on the Plan chosen by the
Affiliate and, as already mentioned,
It will be the one that appears or appears on the invoice that is delivered to you when
you cancel the first item, either
related to affiliation, membership and/or the plan. The Affiliate will pay only once at
the time of
signing of the contract and without the right to return, the rights of access to the
gym, use of machines and
sports equipment and group classes. The Membership Value corresponding to the
first month will be paid
in advance. The Membership Value includes applicable taxes taking into account the
nature
of the Services. In the event that new taxes become applicable due to adjustments in
current regulations,
fees or contributions that would make it excessively onerous for Stark to provide the
services in the
terms established in this Agreement, Stark may make the corresponding adjustments
unilaterally and
without the consent of the affiliate. The value of the annual plan or that other than
the Automatic Debit
include a membership corresponding to 70% of the total value of the plan chosen
and purchased by the affiliate, without
that this has any effect on the amount to be paid.
QUARTER. PAYMENT METHOD: The payment method will depend on the Plan
chosen by the Affiliate.

Signature:__________________ Signature:___________________
Affiliate Contractor