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Training Package
General policy: I authorize Mario Medina Fitness LLC to debit the bank account or credit card indicated in this web form and/ or physical form, for the noted amount on today’s date. This payment is for the goods and/or services noted on the web payment form and/or physical form. I understand that returns, refunds and cancellations are not permitted, however exceptions may be made on a case-by-case basis. I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the above noted transaction date. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that Mario Medina Fitness LLC may at its discretion attempt to process the charge again within 30 days. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card or bank account, and that I will not dispute the payment with my Credit Card Company or Bank, so long as the transaction corresponds to the terms indicated in this web form and/or physical form. Online training policy: In reference to online training I am agreeing to a 3 contract. I understand that Mario Medina Fitness LLC may terminate my contract as it sees fit. I also understand that after my initial 3 month contract is up I will then be transitioned into a month to month contract with prior notice. Billing policy: I will be billed on the agreed upon frequency and amount stated on my subscription. Cancelation policy: I understand that all products and/or packages can be paused and/or terminated by Mario Medina Fitness LLC in an extreme case by case basis or as per the 30 day guarantee provided by Mario Medina Fitness LLC after the completion of 80 percent of the program. I understand that if I decide not to continue to my 4th month of training I must give a 30 day notice before my initial 3 months of training are over. Liability waver: Participant Acknowledgment And Assumption Of Risk And Full Release From Liability Of Mario Medina Fitness LLC. Participant Acknowledges These Physical Activities Involves The Inherent Risk Of Physical Injuries Or Other Damages, Including, But Not Limited To, Heart Attacks, Muscle Strains, Pulls Or Tears, Broken Bones, Shin Splints, Heart Prostration, Knee/Lower Back/Foot Injuries And Any Other Illness, Soreness, Or Injury However Caused, Occurring During Or After Participants Participation In The Physical Activites. Participant Further Acknowledges That Such Risks Include, But Ar Not Limited To, Injuries Caused By The Negligence Of An Instructor Or Other Person, Defective Or Improperly Used Equipment, Over-Exertion Of A Participant, Slip And Fall By Participant, Or An Unknown Health Problem Of Participant. Participant Agrees To Assume All Risk And Responsibility Involved With Participation In The Physical Activities, Participant Affirms That Participant Is In Good Physical Condition And Does Not Suffer From Any Disability That Would Prevent Or Limit Participation In The Physical Activities. Participant Acknowledges Participation Will Be Physically And Mentally Challenging, And Participant Agrees That It Is The Responsibility Of Participant To Seek Competent Medical Or Other Professional Advice, Regarding Any Concerns Or Questions Involved With The Ability Of Participant To Take Part In Mario Medina Fitness LLC Physical Activities. This Agreement, Participant Asserts That He Or She Is Capable Of Participating In The Physical Activities. Participant Agrees To Assume All Risk And Responsibility For Not Exceeding His Or Her Physical Limits. BY CHECKING THE BOX BELOW YOU ARE AGREEING TO THESE TERMS AND CONDITIONS
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I agree to these terms and conditions
Full Name
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First Name
Last Name
Today's Date
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MM
DD
YYYY
Billing freqency
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Weekly
Billing amount
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$62.50
THANK YOU YOUR AGREEMENT WAS FILED
NOW LET’S GET YOU IN GREAT SHAPE!