MEMBERSHIP SIGNUP FORM

TRI-CITY FITNESS CENTER, L.L.C.

900 North Main, Newcastle, OK 73065

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Address

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Membership Plan

Civil Service $5 Discount

Police

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Family Member Name

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Family Member Name

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Family Member Name

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Signature

TERMS, CONDITIONS, NOTICES & DISCLOSURES 1. Disclaimer of Liability: “Tri City Fitness Center, L.L.C. urges all members to obtain a physical examination from their Physicians prior to the use of any exercise equipment or attendance in any exercise class. In recognition of the possible danger connected with any physical activity, member(s) hereby acknowledge and voluntarily waives any cause of actions of any kind whatsoever arising as the result of such activity from which any liability may or could accrue to “Tri City Fitness Center”, it officers, agents, employees, instructors or assignees. 2. Rules and Regulations: MEMBER AGREES TO FOLLOW CLUB RULES. Violations of these rules may be cause for suspension or cancellation of membership. A. It is a violation to allow access to non-members. B. No children under the age of 10 are allowed on the gym floor at any time. Children aged 10-15 must be accompanied by an adult. C. It is the responsibility of the member to pick up after themselves. Any equipment used must be put back in a neat and orderly fashion. You are responsible for cleaning up after yourself and for using the provided cleaner and paper towels to wipe down equipment after use. 3. Buyer’s Right To Cancel: Tri-City Fitness Center does not have a contract but does require a 30-day written cancellation notice and auto-draft through the bank account and routing number. If you wish to cancel your membership, you may cancel by mailing or delivering the notice. ONCE YOU SUBMIT THIS FORM A REPRESENTATIVE FROM TRI-CITY FITNESS WILL CONTACT YOU FOR AN APPOINTMENT