Loading...

Please read and initial each section below:

 

I understand that every membership has an initial commitment period of 3 months (3 billing cycles) and if I am still within that period, my membership will not be cancelled or frozen until after my 3rd month commitment has been met, as per my membership agreement.


I understand that once cancelled, I am not able to rejoin the same membership for a minimum of 60 days. (ex. If I cancel in March, I will not be eligible to join again until June)


If this request is submitted within 5 business days of the 1st of the month, it will not be processed until the following month. (Cancellations/freeze requests without advance notice will be subject to one additional billing cycle before the cancellation is processed)


I understand that if I choose to freeze my membership, I can freeze up to two months, only once per year and there is a one-time, $5 fee to process this request. When frozen, benefits will remain on my account but cannot be used until the membership is active again. 


I understand that upon cancellation of my membership, I will lose any remaining services on my account once the membership expires at the end of the current month.


Per my membership agreement form, I understand that any unused services that will expire at the end of the month cannot be transferred to other services, account credits, or refunded.


Date Signed: April 18, 2024

First Members Name

First Name*

Last Name*

Phone*
First Members Age Acknowledgment*
First Members Date of Birth*
I certify that I am 18 years of age or older
First Members Signature*
Second Members Name

First Name*

Last Name*
Second Members Date of Birth*
Third Members Name

First Name*

Last Name*
Third Members Date of Birth*
Fourth Members Name

First Name*

Last Name*
Fourth Members Date of Birth*
Fifth Members Name

First Name*

Last Name*
Fifth Members Date of Birth*
Sixth Members Name

First Name*

Last Name*
Sixth Members Date of Birth*
Seventh Members Name

First Name*

Last Name*
Seventh Members Date of Birth*
Eighth Members Name

First Name*

Last Name*
Eighth Members Date of Birth*
Ninth Members Name

First Name*

Last Name*
Ninth Members Date of Birth*
Tenth Members Name

First Name*

Last Name*
Tenth Members Date of Birth*
Parent or Guardian's Email Address

Email*
A signed copy of this waiver will be sent to the email address you provide.
I would like to:
Choose one:*
CANCEL my membership
FREEZE my membership

If you have more than one membership, please let us know which one this waiver is pertaining to, or if you'd like both to be effected.


Enter Membership(s) here:
My last month to be charged for my membership is/was*

Only enter current month if you have given more than 5 business days notice. *
If you are requesting to Freeze your membership, please enter the 1-2 consecutive months to freeze:
Please do not select the current month for which you have already paid. Freezes may only be done once per year, up to two months at a time. During this time, your membership will not be active, will not be charged, and is not able to be used. You will, however, be able to save any unused services on your account to use once active.
January
February
March
April
May
June
July
August
September
October
November
December
Please let us know your reason for cancelling:
Location:
Which location did you sign up at?*
Holladay
Downtown
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!