LAST NAME ______________________________ FIRST_________________________ ADDRESS_________________________________ APT#________________________ CITY/STATE/ZIP_______________________________________________________ HOME/CELL#_____________________________________ Email __________________________________
DATE OF SERVICE / TIME / TRAINERS SIGNATURE / MEMBERS SIGNATURE
1. A 12 hour cancellation is required: otherwise, member will lose the session. 2. Forms of payment cash, check, money order. 3. Minimum purchase of sesssions are 10.
You have the right to cancel your training agreement within 3 days of purchase. Your participatation in personal training naturally involves the risk of injury weather you or someone else causes it. By signing you agree to all terms above. TOTAL PRICE: $______ Deposite: $______ Balance: $ _____ Customer signature _____________________________________________________ Date_______________