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4Balance Fitness 

286 Rocky Creek Rd

Greenville, SC 29615

Coaching and Training- Unlimited Personalized Training 

Your FLEX MEMBERSHIP Includes:

  • Movement Assessment
  • Unlimited Facility Access
  • Personalized Workouts on our Train Heroic App
  • TrainHeroic Mobile App for Travel Workouts
  • Personalized Meal Plan on our Evolution Nutrition App
  • Movement, Nourishment, Lifestyle Prescriptions

I Agree

 

Automatic Payment Authorization:

I hereby authorize Trainer/4Balance Fitness, to charge to my Visa/MasterCard/Discover/American Express Credit Card or Bank Account Number for any and all payments due and/or overdue to Trainer/4Balance Fitness Corporation. I further authorize my credit card company or bank to make payment(s) to Trainer/4Balance Fitness by method(s) indicated above and to post it on my account.



Promise to Pay

In consideration of the services to be provided by 4Balance Fitness (“Provider”), and in compliance with South Carolina Consumer Affairs regulations, Client hereby agrees as follows:

  1. Payment Frequency
  2. Client elects one of the following billing cycles, as indicated on the signature page of this Agreement:
  • Weekly
  • Bi-weekly
  • Every fourth week

  1. Auto–Debit Authorization
  2. Client authorizes Provider to initiate automatic debits for each installment in the amount and at the frequency selected above. The first debit shall occur on the date specified in the “Payment Schedule” section of this Agreement, and subsequent debits shall occur on the same numerical day of each billing cycle thereafter. If the selected billing date falls on a weekend or banking holiday, the debit will occur on the next business day.

  4. Modification of Terms
  5. No amendment, modification or termination of this Agreement shall be effective unless reduced to writing and executed by both Client and an authorized representative of Provider.

  7. Guaranty of Payment and Performance
  8. NOW, THEREFORE, in consideration of Provider’s agreement to furnish personal training services, the undersigned Guarantor(s) jointly and severally, unconditionally and irrevocably guarantee the prompt and full payment of all sums owed under this Agreement, and the faithful performance of all obligations hereunder. This Guaranty shall remain in force notwithstanding (a) any forbearance, extension, renewal or modification granted to Client by Provider, (b) any failure by Provider to enforce its rights under this Agreement, or (c) any other circumstance which might otherwise constitute a legal or equitable discharge of a guarantor.

I acknowledge this with my initials:



 

Automatic Renewal: The contract will automatically renew until canceled as described in the cancellation policy.  

I acknowledge this with my initials:



Cancellation Policy: Client must give notice of cancellation in writing and in person by official Cancellation notice (obtained from 4Balance Fitness) of no less than 28 days. This policy applies to all contracts. If for any reason there is a contract cancellation before expiration of the contract, the client must pay the full amount of monthly dues for the duration of the contract as an early cancellation penalty. Trainer reserves the right to cancel contract at any time. If trainer cancels contract, any cancellation fees will be voided and not owed to client. For private contracts; there is a minimum of 24 hours notice required before canceling a session or Client will be charged. In the case for injury or medical leave, client is responsible for paying dues for the duration of the contract. Credit will be issued pending doctor approval for time missed upon notification.

I acknowledge this with my initials:


 

WAIVER, RELEASE AND ASSUMPTION OF RISK FORM

Please read the following information carefully. This Wavier, Release and Assumption of Risk Form is an important legal document. It explains the risks you are assuming by beginning or engaging in an exercise/training program with 4Balance Fitness. Prior to printing your name below and executing this Wavier, Release and Assumption of Risk Form, it is critical that you thoroughly read and fully understand it terms.

 

Waiver, Informed Consent, and Covenant Not to Sue

I have voluntarily decided to participate in, at my own risk, a program of physical exercise under the direction of Fitness Ninja, LLC (4Balance Fitness), which will include, but may not be limited to, weight and/or resistance training, cardio workouts, and nutritional conditioning. In consideration of my being permitted to use the facilities, programs, and classes, and 4Balance Fitness agreement to instruct, assist, and train me, I do here and forever release and discharge and hereby hold harmless 4Balance Fitness and its respective officers, directors, agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise/training programs by 4Balance Fitness and the use of its facilities including for any injuries resulting therefrom. THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUIPMENT THAT MAY MALFUNCTION OR BREAK (2) ANY SLIP, FALL, DROPPING OF EQUIPMENT AND (3) 4BALANCE FITNESS NEGLIGENT INSTRUCTION OR SUPERVISION. I FURTHER AGREE NOT TO SUE OR MAKE ANY CLAIM OF ANY NATURE WHATSOEVER RELATING TO OR ARISING OUT OF MY PARTICIPATION IN ANY PROGRAMS OF 4BALANCE FITNESS OR USE OF ITS FACILITIES/EQUIPMENT IN ANY COURT, AGENCY, OR OTHER FORUM OR PROCEEDING AGAINST ANY INDIVIDUAL OR ENTITY WHOM I HAVE RELEASED AND AGREED TO HOLD HARMLESS.

I Agree

 

Assumption of Risk

 

I recognize that exercise might be difficult and strenuous and that there could be dangers inherent in exercise for some individuals. I acknowledge that the possibility of certain unusual physical changes during exercise does exist. These changes include abnormal blood pressure; fainting; disorders in heartbeat; heart attack; and, in rare instances, death.

 

I am aware that anyone who smokes; has ever had elevated blood pressure; is over 45 (men) or 55 (women) years of age; presently does not exercise; has ever had cardiac (heart) problems; is overweight; has diabetes; has a family history of cardiovascular problems; is susceptible to or has ever had orthopedic problems; or is pregnant, is more at risk while exercising. I understand that I should consult with my personal physician before I begin or continue any exercise program. I also understand that I must have a physicians consent and/or have my physician identify any limitations on my exercise that I may have if any of these conditions exist.

 

I understand that as a result of my participation in an exercise program, I could suffer an injury or physical disorder that could result in my becoming partially or totally disabled and incapable of performing any gainful employment or having a normal social life.

 

I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate.

 

I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary.

I Agree

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS CONTRACT, WAIVER, RELEASE AND ASSUMPTION OF RISK FORM, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE MADE TO ME. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST FITNESS NINJA, LLC FOR ITS NEGLIGENCE OR THAT OF ITS EMPLOYEES, AGENTS, OR CONTRACTORS. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

BY SIGNING BELOW, EXECUTION OF THESE TERMS WILL BEGIN AND I ACKNOWLEDGE THAT I UNDERSTAND THAT I AM ENTITLED TO HAVE AN ATTORNEY OF MY OWN CHOOSING REVIEW THIS CONTRACT, WAIVER, RELEASE AND ASSUMPTION OF RISK FORM.

 

Participants signature (parent/guardian if under 18 years old)

July 14, 2025

 



First Member's Name
First Name*
Middle Name
Last Name*
Phone*
First Member's Date of Birth*
Date of Birth
First Member's Signature*
Second Member's Name
First Name*
Middle Name
Last Name*
Member's Date of Birth*
Date of Birth
Third Member's Name
First Name*
Middle Name
Last Name*
Member's Date of Birth*
Date of Birth
Fourth Member's Name
First Name*
Middle Name
Last Name*
Member's Date of Birth*
Date of Birth
Fifth Member's Name
First Name*
Middle Name
Last Name*
Member's Date of Birth*
Date of Birth
Sixth Member's Name
First Name*
Middle Name
Last Name*
Member's Date of Birth*
Date of Birth
Seventh Member's Name
First Name*
Middle Name
Last Name*
Member's Date of Birth*
Date of Birth
Eighth Member's Name
First Name*
Middle Name
Last Name*
Member's Date of Birth*
Date of Birth
Ninth Member's Name
First Name*
Middle Name
Last Name*
Member's Date of Birth*
Date of Birth
Tenth Member's Name
First Name*
Middle Name
Last Name*
Member's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Member's Address
Street address, P.O. box, company name, c/o *
Apartment, suite, unit, building, floor, etc.
Country *
City *
State/Province *
Zip Code *
Emergency Contact
Emergency Contact's Name *
Emergency Contact's Phone Number *
Driver's License / ID Card
Driver's License / ID Card Number *
Issuing State *
Commitment

Contract Length 

Month to Month


What brought you to us at 4B?*
Improve Flexibility
Improve Health
Improve Strength
Lose Weight
Stress Release
How did you find us?*
Internet Search
Facebook
Instagram
YouTube
Referral
Other
Who's referral should we thank for your business? *
4B Coach who helped you *
Please inform us on your health
Any pre-existing conditions or health issues?*
No
Yes
If answered yes, please list all pre-existing conditions or health issues
Any past or present injuries?*
No
Yes
If answered yes, please list injuries below.
Are you on any medications?*
No
Yes
If answered yes, please list medications below.
FLEX MEMBERSHIP Payment Options
Choose One: *
$49/week
$98 Bi-weekly
$196 every 4 weeks
Automatic Payment Authorization

I hereby authorize Trainer/Fitness Ninja, LLC to charge my Visa/MasterCard/ Discover/ American Express Credit Card or Bank Account Number for any and all payments due and/or overdue to Trainer/Fitness Ninja, LLC. I further authorize my credit card company or bank to make payment(s) to Trainer/4Balance Fitness by method(s) indicated above and to post it on my account text

Type Of Payment *
Visa
Mastercard
American Express
Discover
Card Number *
Expiration Date *
CVV CODE *
Amendments or Billing Instructions
List any agreed upon payment options not listed above or type N/A *
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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
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.


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