6-WEEK CHALLENGE SIGNUP PAGE

First Name *

Last Name *

Email *

Phone *

Date of birth *

Address *

City *

State *

Postal code *

8W Emergency Contact *

8W Emergency Contact Phone *

8-WEEK TRANSFORMÅTION

I am initialing below I understand by Submitting $697 payment, will be returned at end of 8 weeks after a successful body transformation as a credit for membership. My Goal is 30#'s or 8% Body fat I also understand that if I withdraw from the program before start date, I will forfeit 50%. If I withdraw during the challenge I will forfeit the total amount. (Partial payments are non refundable) *

Terms of Service: Checking each section and signing, agrees to the terms and fully understand the requirements for a successful transformation

Please check each section and sign below confirms that you have read the rules and regulations for the transformation.

I understand:

A successful body transformation entails a loss of either 30 lbs OR 8% Body Fat as measured on in-house INBODY monitor within 56 days official “weigh-in day” captured by facility employee on FSFIT's in-house system. *

Yes

I must attend 3 workouts minimum per week during the 8-week period (unless out of state, with prior notice). If out of state, I must communicate this to my coach. Workout is credited only if checked in on Facebook. I must check in on Facebook into facility AT LEAST 24 times during the 8-week period to receive reward. *

Yes

I agree to weighing in at or around day 30 of the challenge and recording my stats prior the next MONDAY BY 9:00 PM in order to increase accountability unless out of state. If out of state, I must communicate weigh-in to my coach prior to leaving town. *

Yes

I agree to write a review of the facility on Google after 8 week program is over, and must submit review prior to the final weigh-out meeting and receiving a reward. *

Yes

I understand, once I have gone through the nutrition consultation, there is no way of receiving a refund, except in the case of injury, pregnancy, or moving beyond 30-mile radius of FSFIT. In the case of the above exceptions, only half of the deposit amount shall be returned. Example: client realizes in their 2nd week that they will be switching locations for work and location is no longer convenient, half of the original deposit will be refunded, and half will be kept as payment for all the materials received (nutrition plan, grocery list, online membership, accountability group, cookbook, at home workouts, eating out guide).

Yes

Please choose the offer type:

Please choose the correct offer for the client, there are 2 options for participating in the 8 Week Transformation. *

STANDALONE 8-WEEK TRANSFORMATION

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8-Week Standalone Membership Type

To be eligible for a reward, buyer must pay off the entirety of the deposit prior to the 3rd week of the program. If a payment plan is made, and one or multiple deposits are declined, it is up to challenger to rectify billing. If the full deposit is not received by week 3 of the program, prior partial deposits are forfeited. *

12 Month Membership with FREE 8-Week Challenge

Accepting the 8 Week Challenge for FREE, I am agreeing to a 12 Month agreement with FSFIT. I will receive the $697 as a credit towards my FSFIT single membership in the amount of $58.00, every month for the next 12 months.

Currently FSFIT monthly membership is $209 per month, I will receive a $58.00 credit every month for the next 12 months. My new rate for the next 12 months is the amount of $150 per month for accepting the credit in advance. By signing this document I understand the terms of the discount and the monthly rate moving forward.

Informed Consent Waiver, Release and Hold Harmless Agreement for Fitness Program Participant

Express assumption of risk: I, the undersigned, am aware that there are significant risks involved in any physical training regimen. These risks include, but are not limited to: falls which can result in serious injury or death, injury or death due to negligence on the part of myself, my training partner, or other people around me, injury or death due to improper use or failure of equipment. Injury may also result simply from the fact of physical training itself. By its very nature, physical training seeks to have me push beyond my limits in order to produce a physical adaptation by my body. This requires feedback from me to my trainer regarding what is happening with my body. Excessive work can result (in rare cases) in exertional rhabdomyolosis. I should look for signs of excessive soreness, darkened urine, and pain in the kidney areas in the days following a particularly intense workout. While this type of injury is relatively rare, it can occur due to a number of factors, including(but not limited to) genetic predisposition or dehydration, that may be beyond the control of my trainer. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while training with FSFIT.

Release: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities available at FSFIT, I, the undersigned hereby release CrossFit and FSFIT, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties.

This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected with FSFIT to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.

Indemnification: The participant recognizes that there is risk involved in the types of activities offered by FSFIT and or CrossFit. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless CrossFit and FSFIT, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by CrossFit and or FSFIT.

Consent, Waiver, Release, and Hold Harmless Agreement for The 8-Week Challenge *

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6-WEEK CHALLENGE SIGNUP PAGE

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