Loading...

FuelFit Strength Club Membership Registration & Agreement

Section 1: APPLICATION

I apply for the training programme by FUELFIT. I represent and warrant that I am 18 years of age or older and all facts and information set forth above and/or in this application dated August 26, 2019 (the "FuelFit Strength Club Membership Agreement") are true, correct and complete.

Section 2: PAYMENT

a. I must pay the first 4-week's fees for my training programme upon signing this Agreement. If I have chosen to pay a lump sum for my programme "term", I will continue to read from Section 3.

b. Thereafter, I agree to pay my recurring fees every 4 weeks through automatic withdrawal from my credit card account, which I maintain in a financial institution in Singapore, pursuant to this signed authorization form delivered to FUELFIT. If I change financial institutions or credit card, I will provide FUELFIT in writing, all information needed for the replacement automatic withdrawal at least ten (10) days before the effective date of the change. I agree to a programme term as per Section 1 and acknowledge that the automatic withdrawals (payments) will continue for that period unless I cancel my programme as permitted in this Agreement in Section 4.

c. If I fail to pay an amount (due to failure of automatic withdrawal or lump sum payment) when due, under this Agreement, FUELFIT shall be entitled, at any time, in its sole discretion, to suspend or cancel my membership and to require me to immediately pay all past due balances. Suspension or cancellation shall not relieve my obligation to pay any unpaid balances. If I fail to pay any amount due to the FUELFIT when due, I shall pay all costs and expenses of collection incurred by FUELFIT, including reasonable attorney's fees and expenses.

Section 3: TERM

a. I can pre-pay for the programme term chosen. After the end of the term, I can renew in writing, at the prevailing rate given by FUELFIT at the time of the new signing.

b. If FUELFIT needs to temporarily suspend operations due to official or uncontrollable reasons, my term period will be extended by the number of days of suspension.

Section 4: CANCELLATION

a. I (or my legal representative) may cancel this agreement without penalty in accordance with the following:

1. Within the first 7 days of the start of the "term". Upon cancellation, I will receive a full refund of the fees for the first month of the term. An administrative fee of $50 will be charged.

2. I maintain the right to cancel payment at any time in advance of the billing date for the next 4-week’s block. Cancellation must be done in writing (either by posted letter to "501 Serangoon Ave 4, #08-494, Singapore 550501" or by email to the following address: fuelfitsg@gmail.com) and the letter or email must be received before the new billing cycle or you will be charged for that 4-week’s coaching fees. 

3. DEATH OR PERMANENT DISABILITY

If I die or become permanently disabled, a medical verification of my condition produced by a certified medical practitioner must be presented and deemed acceptable proof by FUELFIT. A permanent disability means a condition which precludes me from participating in FUELFIT trainings or any other physical fitness activity for more than 6 months after medical diagnosis and the condition is verified by a certified medical practitioner. I shall remain liable for all payments that became due under the Agreement prior to the effective date of the cancellation.

In the event that I have prepaid a lump sum for a training term and qualifies under this section for death and permanent disability, I shall be reimbursed the prepaid amount less a sum equal to the number of weekss that have passed in my term to the effective date of cancellation.
In the event that I use the payment method of automatic withdrawal, FUELFIT will permanently suspend the auto payment for the training block after the effective date of cancellation.

b. EARLY TERMINATION FEE

In the event that I have prepaid a lump sum for a training term, I have the right to terminate this contract by paying the "early termination fee". I am required to tender a written notice requesting termination to "501 Serangoon Ave 4, #08-494, Singapore 550501"or email to "fuelfitsg@gmail.com". Once FUELFIT have received and confirmed my request, my Agreement will terminate within 30-days.

I shall be reimbursed, within the next thirty (30) days after cancellation, the prepaid amount less the payment for the number of weeks of training effected, and the "early termination fee", which is a sum calculated by multiplying 20% of the cost of the weeks remaining in my programme term purchased in this Agreement.

Section 5: MEDICAL CLEARANCE

If I do have a medical condition;

I am strongly advised to seek a medical practitioner's advice before signing up for a programme.
The FUELFIT medical form must be completed by both course participant and a registered medical practitioner and returned to my chosen course correspondent at least 7 days prior to my course commencement date.
If I do have a medical condition and are unable to obtain clearance from a registered Medical practitioner then I cannot commence my chosen programme.

In such circumstances;

A full refund of my "total due"(if paid) will be given, provided that I give FUELFIT notice of my failure to obtain medical clearance at least 10 days prior to my programme commencement date.
If I do not give FUELFIT such notice (within the specified time frame) and the programme has commenced, there will be no refund of the "total due".
All future automatic withdrawal should be cancelled within forty (40) days of the cancellation

Section 6: CONFIDENTIALTY

Anything that is said or revealed in the sessions between the coach and me is privileged information and will not be disclosed to any outside party. The exception is if the information revealed includes disclosure of illegal, unethical or criminal activities.

Section 7: INDEMNITY

The methods employed by FUELFIT do not guarantee results. They are guidelines that I must follow through on in order to see any type of change. I agree to indemnify and hold harmless FUELFIT and all its employees from: any, and all direct or indirect losses for which FUELFIT or its employees may become liable as a result of any claims or actions which I make or which is made on my behalf due to any direct or indirect losses that I may suffer as a result of attending a course run by FUELFIT.

Section 8:PRIVACY

I understand that FUELFIT will not disclose, share, transfer, sell or release any of my personal information to any 3rd party. I agree that any pictures, audio, or visual recordings taken of meduring the programme can be used for publication, promotion, articles, shows and advertisement without additional consent and without compensation at this time or any other time. 

Section 9: GENERAL

FUELFIT reserves the right to alter, modify, add to or otherwise vary these Terms and Conditions from time to time by notice to the Customer in such manner as FUELFIT deems appropriate. The Customer shall be bound by the terms and conditions so amended. In any event, if the Customer continues to use FUELFIT after such notice, the Customer shall be deemed to have accepted the amendments.

Conditions

I have read these terms and conditions carefully. If I have any questions regarding the content of this agreement, I shall seek independent advice or alternatively I can call FUELFIT on 96910204 or email fuelfitsg@gmail.com

I must accept and agree to these terms and conditions before attending my chosen FUELFIT Program.

Client Agreement

I have read, understood and agree to the Terms and Conditions

I Agree
I Agree

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
PAR-Q and You
Please read the statements carefully. Tick in the box if you have: *
have a heart condition and that you should only do physical activity recommended by a doctor
pain in your chest when you do physical activity
had chest pain when you were not doing physical activity in the past month
lost your balance because of dizziness or do you ever lose consciousness
a bone or joint problem that could be made worse by a change in your physical activity
drugs currently prescribed by doctor (for example, water pills) for your blood pressure or heart condition
any other reason why you should not do physical activity
none of the above

If you have ticked any of the above boxes above other than "none of the above", kindly consult your doctor before starting the training program with us.

I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction. *
Yes
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Membership Options
Please choose your membership option*
Recurring Strength Training Program - ($60/4-week)
1-year Training Program ($700 upfront payment)

Payment Authorization

Recurring direct Credit or Debit card payment is the payment for all members. Please provide your card details as requested below. Payments will be made monthly (except for annual prepaid membership) until the membership terms end.

Card Type*

Cardholder Name *

Card Number *

Expiry Date *

Billing Address (if different from mailing address)
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