Membership Agreement

The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of sex or marital status. The agency that administers compliance with this law is the Federal Trade Commission, Equal Credit Opportunity Washington, D.C. 20580. Trainers Edge, Inc. is registered with the State of Florida as a Health Studio, Registration No. HS7086.

First Name:

Last Name:

Full Address:

Date of Birth:

Home Phone:

Cell Phone:

eMail Address:

City:

State:

Zip:

In Case of Emergency (I.C.E) Name:

I.C.E Relationship to you:

I.C.E Phone Number:

Select Membership Type:

Key Club ($29.95 +tax)
Key Club & Unlimited Burst ($99.00 + tax)
Family ($78.85 + tax)

 

Health Risks:

Have you had any of the following conditions?

Have any of your family or relatives had any of the following conditions?

Rheumatic Fever
Recent Operations
Edema (ankle swelling)
High Blood Pressure
Injury to Back
High Cholesterol
Low Blood Pressure
Knees
Seizures
Lung Disease
Heart Attack
Fainting
Diabetes
Medical Problems
Other Injuries
Heart Attack
High Blood Pressure
Diabetes
Heart Operation
Congenital Heart Disease
High Cholesterol
Other
   
Explaination:

 

Coronary Artery Disease Risk Factors
Check all that apply

Age

Check if you are a Men >45 years: Women >55 OR premature menopause without estrogen replacement therapy

Family History

MI or sudden death before 55 years of age in father or mother male first-degree relative OR before 65 years of age in mother or other female first-degree relatives

Current cigarette smoking  
Hypertension

Blood pressure 140/90mm Hg, confirmed by measurements on at least 2 separate occasions OR on anti-hypertensive medication

Hypercholesterolemia

Total serum cholesterol > 200 mg/dL (if lipoprotein profile is unavailable) OR HDL < 35 mg/dL

Diabetes mellitus

Persons with insulin dependent diabetes mellitus (IDDM) who are >30 years of age OR have had IDDM for >15 years; and persons with non-insulin dependent diabetes mellitus (NIDDM) who are >35 years of age should be classified as patients with disease

Sedentary lifestyle

Persons comprising the least active 25% of the physical inactivity population, as defined by the combination of sedentary jobs involving sitting for a large part of the day and no regular exercise or active recreational pursuits

Notes: (1) It is common to sum risk factors in making clinical judgements. If HDL is high, subtract one risk factor from the sum of positive risk factors, since high HDL decreases CAD risk: (2) Obesity is not listed as an independent positive risk factor because its effects are exerted through other risk factors (e.g. hypertension, byperlipidemia, diabetes). Obesity should be considered as an independent target for intervention.

CLIENTS WITH TWO OR MORE CORONARY RISK FACTORS MUST BE REFERRED TO A PHYSICIAN AND AGREE TO THE FOLLOWING:
I acknowledge the existence of risks in connection with fitness assessment and exercise activities, assume such risks, and agree to accept the responsibilities for any injuries sustained by my participation in the course of the prescribed exercise program. I have been advised to seek the advice of a physician prior to initiating any exercise program. By signing below, I accept full responsibility for my health and well-being and acknowledge an understanding that no responsibility is assumed by the leaders of this program.

DISCLAIMER OF LIABILITY: Trainers Edge, Inc. urges all members to obtain a physical examination from their physicians prior to initiating any exercise program. Key club members are not supervised by TEI staff and at times may be present in the facility when it is completely unattended by others. Key club members are responsible for their own safety. In recognition of the possible dangers connected with any physical activity, member(s) hereby knowingly and voluntarily waive(s) any cause of action of any kind whatsoever arising as the result of such activity from which any liability may or could accrue to Trainers Edge, Inc., its officers, agents, employees, instructors or assigns and agree to hold Trainers Edge, Inc. harmless there from.

1. SEVERABILITY: If any part of this agreement shall be held invalid, that part shall be deemed excluded from this agreement and the remainder of the agreement shall remain in full force and effect.

2. NOTICE: ANY HOLDER OF THIS CONSUMER CREDIT 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.

3. JURISDICTION: To the full extent permissible by law, for purposes of any dispute arising out of this agreement, all parties hereto agree to submit to the sole and exclusive jurisdiction of the State of Florida and to the application of Florida law. Any action hereunder shall be brought in Seminole County, Florida. A condition precedent to any suit or action arising from any dispute between the parties shall be mediation pursuant to Florida Statute.

4. ENTIRE AGREEMENT: The Member and Trainers Edge, Inc. acknowledge that this Agreement constitutes their entire agreement. It cannot be amended except in written form executed by both parties.

5. CANCELLABILITY AND TRANSFERABILITY: This membership is not negotiable, transferable, or cancelable except as otherwise provided herein. Notice of intent to cancel by the buyer shall be given in writingcancellation request form available on website 30 days to TEI. Such a notice of cancellation from the consumer shall also terminate automatically the consumer’s obligation to any entity to whom the health studio has subrogated or assigned the consumer’s agreement. If the health studio wishes to enforce such agreement after receipt of such showing, it may request the department to determine the sufficiency of the showing.

6. BUYERS RIGHTS: The member may cancel the contract if Trainers Edge, Inc. goes out of business and fails to provide equal quality facilities within 30 days at no additional cost within 5 driving miles of, or if its facilities move more than 5 driving miles from, 770 Monroe Road, Sanford, Florida 32771, upon written notice by the Member. If the FDAC determines that a refund is due the buyer, refund of this contract shall be an amount computed by dividing the total price by the number of weeks in the contract term and multiplying the result by the number of weeks remaining in the contract term. The business location of a health studio shall not be deemed out of business when temporarily closed for repair and renovation of the premises:

a. Upon Sale, for not more than 14 days

b. During ownership, for not more than 7 consecutive days and not more than 2 periods of 7 consecutive days in any calendar year. The member should contact the Florida Department of Agriculture and Consumer Services within 60 days if Trainers Edge, Inc. goes out of business.

7. IDENTIFICATION CARDS & KEYS: If the club requires the member to furnish identification (KEYS) upon entry to the club and as a condition of using the services of the club, the club shall provide the member with the means of such identification. If the member(s) lose their identification/key(s) there will be a charge $5.00 to replace the Keys.

You, the buyer, may cancel this agreement penalty-free within 3 days, exclusive of holidays and weekends, of its making, upon the mailing or delivery of written notice to the health studio, and refund upon such notice of all monies paid under the contract, except that the health studio retain an amount computed by dividing the number of occasions health studio was used are to be rendered into the total contract price and multiplying the result by the number of complete days that have passed since the making of the contract or, if appropriate, by the number of occasions that the health studio services have been rendered. A refund shall be issued within 30 days after the receipt of the notice of cancellation made within the 3-day provision.

By clicking submit you are indicating that the information you supplied is correct and you fully understand and agree to comply in full with the terms and conditions stated in this Membership Agreement 

 

Awarded: