MONTHLY UNLIMITED CLASSES CONTRACT - 12


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LAST NAME: _____________________________

FIRST NAME: ________________________

STREET ADDRESS: _________________________________________________________________ _ CITY: ________________________________

STATE: _________ ZIP: ________________

PHONE (HOME/CELL): _____________________

DATE OF BIRTH: ______/______/________

EMAIL ADDRESS: ________________________________________________ EMERGENCY CONTACT NAME: ______________________________________ EMERGENCY CONTACT PHONE: _____________________________________

MONTHLY UNLIMITED CLASSES CONTRACT - 12 month/$89 CONTRACT START DATE: ___________ END DATE: ____________ WAIVER/ASSUMPTION OF RISK: By my signature below, I understand that the instructors and the facility (Be Well Systems LLC, dba Vitalcycle) assumes no responsibility for injuries or illnesses which I may sustain as a result of my physical condition or resulting from participation in a class and/or from the use the equipment at the facility. In addition, I know that I should consult with my physician before beginning any physical activity. I expressly acknowledge on behalf of myself and my heirs that I assume the risk for any and all injuries and illnesses which may result from participation in a fitness, indoor cycling or wellness class. I hereby release and discharge the instructor and the facility from any and all claims for injury, illness, death, loss or damage which may result from my participation in activities at this facility. Signature Here: ______________________________________________

MONTHLY UNLIMITED CLASSES CONTRACT TERMS *THIS IS A LEGALLY BINDING DOCUMENT *

I UNDERSTAND THE INITIAL TERM OF THIS CONTRACT IS FOR 12 FULL MONTHS OF PAYMENTS FOR UNLIMITED MONTHLY ATTENDANCE IN GROUP INDOOR CYCLING CLASSES AT $89/MONTH – AUTO RENEWING. I UNDERSTAND THAT I CAN CANCEL THE CONTRACT AT ANY TIME AFTER 90 DAYS WITH A 30 DAY NOTICE WITH NO PENALTY. (This

contract is non-transferable and does not include Personal/Small Group Training, Nutritional/Holistic Wellness Workshops, Massage, Acupuncture and other one-on-one wellness services that BeWell Systems, LLC dba Vitalcycle may offer in the future). I understand that I may cancel this Agreement within three (3) business days after receipt of a copy of this Agreement, by notice in writing delivered to Vitalcycle in person at the studio or sent by certified or registered mail postmarked no later than midnight of the third business day after the date of the Application. If I properly cancel within 3 business days, I understand that Be Well Systems, LLC will refund any payment made under this Agreement. Nonuse of Facility: Client understands that even if our facilities and/or services are not used by them, they are still responsible for payment under this contract. Initial Here: _____________

AUTHORIZATION AGREEMENT FOR PRE-ARRANGED PAYMENT I hereby authorize BeWell Systems LLC dba Vitalcycle, to effect payment for monthly dues by debiting my credit card account in the amount of $89/month. I understand this authorization is effective for a minimum of 12 full months. In the event I move both my permanent residence and place of employment from its current location beyond a 15 mile radius prior to completing the initial term of my contract, I may cancel this agreement providing my payments are current and proof of relocation must be provided to the satisfaction of the studio. Please update us regarding any credit/debit card if the account numbers change or prior to card reaching its expiration. Failed auto-payment will result in a $10 service charge and will not affect any other provisions of this agreement. I hereby affirm that I am the authorized signer on the bank account or credit card account that is designated for monthly payment of dues. INITIAL HERE: ____________

INJURY/DISABILITY FREEZE INJURY/DISABILITY FREEZE Clients requesting a freeze on a monthly dues payment due to a medical injury not deemed to be a “disability” as herein provided, must submit a written doctor’s notice. A membership freeze will become effective 30 days after notification. There is absolutely no retroactive refunds on monthly dues for medical injuries. If you are disabled for greater than 90 days, you must submit a new doctor’s note confirming the disability and the need to extend the membership freeze. Member shall continually provide a doctor’s note confirming the disability every 90 days. Contract will be extended to fulfill 12 months of payment upon return. INITIAL HERE: ____________

POLICY FOR RESERVATIONS IN EQUIPMENT BASED CLASSES FOR MONTHLY UNLIMITED CLASS ACCESS CONTRACT HOLDERS CLIENT UNDERSTANDS: To ensure the convenience of on-line class reservations is not abused, the monthly unlimited contract holder understands that they will be given two “grace” absences per month and will be subject to a “no-show”

charge of $5.00 if their place in the class is not released by either canceling the booking online within the appropriate cancelation period of 8 hours before class start time or by contacting the studio directly within 90 minutes prior to class. INITIAL HERE: ____________ STUDIO CLOSURES/SCHEDULE MODIFICATIONS: BeWell Systems, LLC is not liable for reimbursing/extending contracts in the event that the studio is closed due to inclement weather lasting less than 30 consecutive days. BeWell Systems, LLC holds the right to adjust the class schedule as demand for classes or instructor availability change. The studio may be closed on major holidays and other days periodically as deemed appropriate. Schedules are typically scaled back during the summer months running a minimum of one morning class and one evening classes per day Monday through Thursday; and two weekend classes on Saturday’s and Sunday’s . BeWell Systems, LLC retains the right to secure substitute instructors as needed. Any class that has lower than a monthly average of 6 participants per week may be removed from the schedule. TERMINATION: Client acknowledges and agrees that BeWell Systems, LLC, reserves the right to cancel this agreement at any time for any reason with no obligation due to Client beyond a pro-rated refund of the month they have currently pre-paid. 1st Monthly Payment Commences: _________ Final Required Monthly Payment:_ _________

This contract is auto-renewing, please provide written notice by or before above final required monthly payment if you wish to terminate. INITIAL HERE: ______________ FOR CLIENT: ___________________________________________ SIGNATURE

__________________ DATE

FOR STUDIO: _________________________________________ SIGNATURE _________________________________________ PRINTED NAME/TITLE

___________________ DATE

Revised 2/25/2016