Key Account Partner Member - Registration Form

Membership Number: Company Name: First Name: Address: City: Phone (home): Birthdate (mm/dd/yyyy): Emergency Contact Name & Phone #: Please enter your home club:
Terms and Conditions:
Sign In: Members are required to present a completed Registration Form at a GoodLife Fitness club on their first visit as a corporate member and will receive a key tag from the club. Mandatory fields on this form are first & last names and signature. Members are required to present a valid key tag upon each visit to the club. A key tag is issued for the exclusive use of that member. Use by another person, other than the member, will be grounds for cancellation of the membership without refund. A membership card, which is lost or stolen, may be replaced subject to a replacement fee. Rules and Regulations: While on the Centres premises I promise to obey and abide by all rules and regulations of The Centre (which may be posted at The Centre from time to time) and to conduct myself in a quiet peaceful manner at all times, doing or saying nothing that could possibly endanger or disrupt the business or reputation of The Centre. I understand that my failure to act in accordance with these promises could result in my being expelled from the premises. The Centre may, upon reasonable notice, close temporarily for maintenance. No cancellations, holds or refunds are permitted during the term of this Agreement.

Join Date (mm/dd/yyyy): Last Name: E-Mail Address Prov: Phone (work): Please circle: Female Male P/C:

Liability Waiver:
The undersigned acknowledges all activities and/or programs performed at GoodLife Fitness and its affiliates, (hereafter referred to as The Centre) shall be at his or her own risk and hereby releases and discharges The Centre, its owner(s), officers, directors, agents, franchisees, franchisors or employees from any liability, claims, demands, injury, damage, action or cause of action whatsoever, which may result from the use of the services or facilities of The Centre on the premises where the same or any and all acts of The Centre, its officers, directors, agents, franchisees, franchisors or employees may be rendered or carried out pursuant to this Agreement. I have carefully read this Key Account Partner Member Registration Form and I understand the Terms and Conditions and Liability Waiver and agree to be bound by them. Dated at __________________________________ this __________ day of _______________________ 20 ___

Members Signature: _____________________________ Witness: _____________________ ___