Southrac PT/SG Contract

Participant Name*

First Name

Last Name

Member Number (if known)

Email*

Phone*

Date of Birth*

When you reserve a training time, the Trainer no longer offers that time to others and their income is generated from your session. Please keep in mind:*

When you reserve a training time, the Trainer no longer offers that time to others and their income is generated from your session. Please keep in mind:
	Yes
If you do not cancel/reschedule with 24 hour notice, you will be billed for the session.	When you reserve a training time, the Trainer no longer offers that time to others and their income is generated from your session. Please keep in mind:: If you do not cancel/reschedule with 24 hour notice, you will be billed for the session. (Yes)
If you cancel or reschedule (even with notice) more than 2 times per 10 sessions or more than 1 time per 5 sessions, you will be billed for the session.	If you cancel or reschedule (even with notice) more than 2 times per 10 sessions or more than 1 time per 5 sessions, you will be billed for the session. (Yes)
Sessions are non refundable and expire after 90 days.	Sessions are non refundable and expire after 90 days. (Yes)

Select a training package.*

10 One on One (1 Hour) Personal Training Sessions for $700. 10 One on One (1 Hour) Personal Training Sessions for $650. (Auto Renew Only) 5 One on One (1 Hour) Personal Training Sessions for $325. (Auto Renew Only) 10 One on One (30 Minute) Personal Training Sessions for $450. 10 Small Group Training Sessions (1 Hour) for $400. 10 Small Group Training Sessions (1 Hour) for $350. (Auto Renew Only) 5 Small Group Training Sessions (1 Hour) for $175. (Auto Renew Only) 10 Small Group Training Sessions (30 Minute) for $250.

If you choose to purchase 5 sessions or 10 sessions for the discounted rate the package will be setup to auto bill once the last session is checked out for the same amount of sessions purchased. This option can be cancelled at any time. A cancellation request must be submitted before the last session of the package is checked out so the auto bill does not occur. *

Yes I understand my account will be setup on auto renew to bill for 5/10 more sessions (amount originally purchased) once the 5/10 are used and that a request to cancel must be submitted to stop the auto bill if I do not wish to train anymore. I am not purchasing an auto renew package.

If you are currently training with a trainer, who is your trainer?

Waiver of Liability

Southrac urges you (or your participant child) to obtain a doctor-provided physical exam before participating in any exercise program. All exercises and use of equipment shall be at the participant’s sole risk. The instructors (Trainers), facility, and business shall not be held liable for any claims, demands, injury, or loss. Participant and/or guardians hold the club, its officers, owners, agents, and employees harmless for all injuries or claims.

Credit Card

You are authorizing Southrac to bill the information provided or updated by you or the financial institiution.

Notes or Comments

Signature

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Use your mouse or finger to draw your signature above confirming you agree to purchase session, billing, terms and waiver of liability.

Personal Training Agreement