CREED STRENGTH & FITNESS
TRAINING PROGRAM SERVICE AGREEMENT
This Athletic Training Program Service Agreement and Release of Liability (the “Agreement”) is between Creed Strength & Fitness and you, the Buyer (individually, as the agent(s) or guardian(s) of the Client(s), or you the Client if you are of 18 years of age). It is agreed by and between Creed Strength & Fitness and Buyer that Buyer is purchasing, for the benefit of the Client, Athletic Training Services, from Creed Strength & Fitness according to the terms on the front and reverse side of this agreement.
Monthly dues: $
Enroll/Assessment Fee: $35
First Month: $
Total Down Payment: $
Prepayment – there is no payment charge applicable to this Agreement.
See the Agreement for any additional information regarding non-payment, default, and penalties.
PAYMENT SCHEDULE: ____ payments of $______ are due on the ______ of each month beginning ______________, 20____
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS:
I(We) hereby authorize Creed Strength & Fitness hereinafter called COMPANY, to initiate debit entries, and corrections thereto, to my(our) Checking, Savings or Charge Card account indicated below and the depository or credit card named below, hereinafter called DEPOSITORY.
BANK NAME OR CARD TYPE:_________________________________CREDIT CARD EXPIRATION DATE:____________
ACCOUNT NO. (CC # or Bank Acct #):_________________________________________3 DIG SECURITY CODE:________
BANK TRANSIT/ABA(Routing) NO:_______________________________ACCOUNT NO:____________________________
This authority is to remain in full force and effect until COMPANY and DEPOSITORY have received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it, or until all payments due under the contract have been made. This will be a minimum of 30 day notice.
DATE__________________SIGNED x____________________________SIGNED x______________________________
IMPORTANT NOTE: Buyer on his or her behalf, or as agent or guardian for a client identified above who will use the Athletic Training Program services purchased under this agreement (as used herein, in individually and collectively, “buyer”), signing and agreeing to partake in COMPANY from liability due to participation. Buyer is urged to have this release agreement reviewed by an attorney before signing.
By signing this Agreement, Buyer acknowledges that Buyer has read, understood and agreed with all terms and conditions of this agreement, which includes the E.F.T. Request and Authorization, the Release and Waiver of Liability, and all Additional Terms and Provisions located on the front and reverse side of the Agreement. This agreement constitutes the entire agreement of the parties and no other agreement or understanding exists between Buyer and COMPANY has made no express or implied warranties or misrepresentations other than those expressly set forth in this Agreement to induce Buyer to enter into this Agreement. Any conflict between the original Agreement and any copy of the original Agreement shall be controlled by the original Agreement.
Note of Autorenewal: I understand that unless I submit a notice of written cancellation within 30 days of the last scheduled E.F.T. payment as described in the “Payment Schedule” section above, this contract will automatically convert to a month-to-month agreement, whereby I will continue to purchase a month-month membership for a monthly payment of $___as indicated in the “Program Fees” section above. I understand that, except as allowed by this contract or applicable state law, this agreement is non-cancelable during the initial term, but that, upon conversion to a month-to-month agreement, the agreement may be cancelled at any time by submitting a 30-day written notice of cancellation to the address indicated in this contract.
Notice to Customer: You may cancel this agreement any time before midnight of the third business day after the date of this agreement. To cancel this agreement, you must notify the seller in writing no later than midnight of _______/_______/_______
Executed at (Facility Address)__________________________________________Dated:_________________/__________/___
Street Address City State Zip
Representative Signature Buyer’s Signature/Client’s Signature