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First Name:
Last Name:
Email:
Phone Number:
Which membership stall type are you requesting. See below for details
Which months would you like to stall your membership:
thru
Membership Stalls.
There are three types of Membership Stalls. Under no circumstances will
stalls be granted retroactively.
Year Members: For each month a membership is stalled, a month will be
added onto the end of the membership,
extending the length of the contract out. Even in the case of a stall,
members are required to pay twelve (12) months
worth of full membership dues before the year contract is fulfilled.
Stalls must begin and end on the first and last day of each month. Stall
can not be pro-rated.
This form needs to be submitted by the 25th of the month in order to
have your automatic payment stopped.
General:
A member may apply for an inactive membership once per calendar year
with the following stipulations: First,
the leave must be at least one month, but not longer than 4 months;
second, the member must pay $25 per month
administration fee for each inactive month. Members applying for inactive
status must be current in their account.
Medical:
A member may apply for an inactive membership stall based upon a valid
medical reason. Members will be
required to submit a doctor’s note as proof of illness or injury.
For each month that a medical stall is necessary
there is a $10 per month administration fee. If the injury can be helped
by Physical Therapy, and the member uses
Vitality Fitness Inc.’s Physical Therapist, this fee is waived.
Pregnancy:
If a member becomes pregnant during the course of her membership, and
a doctor advises her not to continue
physical activity, the member may put their membership on hold for the
length of her pregnancy and up to 6 months
after her baby is born at no charge. Members are required to return
to class or begin making membership payments
once the 6 month period has expired.
Please acknowledge that you have read through this contract/agreement/waiver.
I agree to the terms above.
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