Membership Application and Agreement

Name: ___________________________________________ _________________ Code #____________

Last First MI Date of Birth Address:_____ _____________________________________________ Phone: ______________________ Number & Street City State Zip Mobile Phone: __________________________ Email Address: _______________________________ __

Emergency Contact: Name: ____________________ Relationship _________________ Daytime Phone: _____________ Evening Phone: _______________

Membership Terms and Conditions

Fees and Dues: Enrollment Fee: To establish membership, member agrees to pay a one-time Individual enrollment fee of $55.00 or Family (maximum of 4) enrollment fee of $80.00. Enrollment fee is non-refundable. Cannon Beach Fitness accepts cash, check, credit cards, and electronic funds transfer (*EFT) from a credit card or bank account. All EFT memberships are a continuous membership plan.

Credit Card Debit Card Check #_____

Fee Schedule

Member

Enrollment Monthly Monthly

Fee

EFT *

Individual $55 50 40

*Family $80 85 70

Drop In

Daily Week Month

Individual 15 50 80

*Family 20 80 130

*Family (maximum of 4)

Cannon Beach Fitness Use Rules

All participants upon entering this facility are required to provide electronic code unique to their membership agreement.

Please check shoes for sand before entering the facility.

Return all weights and equipment to their proper racks after use.

Proper workout attire and footwear are required.

Limit the use of cardiovascular equipment to 30 minutes when others are waiting.

Please wipe down fitness equipment after use with gym wipes provided.

Do not bring food into the fitness area. Closed containers only. No glass.

Return all plates, dumbbells and equipment back to designated racks.

During high traffic hours encourage others to work-in with you.

Do not operate any malfunctioning or broken equipment. Please notify us at 503 440 4758 should you suspect that any piece of equipment is malfunctioning.

Cannon Beach Fitness reserves the right to approve all personal training.

Cannon Beach Fitness uses a recording closed circuit camera to provide a safe secure environment for all guests.

Personal Property

Please leave valuables at home. Club will not be responsible for lost or stolen items. Agreement and Release of Liability Cannon Beach Fitness provides access to the building using a personal access code system. I acknowledge the supervision is not provided at the facility. I acknowledge that use of the access code system by someone other than myself will result in loss of membership. ___________ Initials Acceptance and Agreement I hereby agree to accept and abide by the terms of this Membership Application and Agreement. I understand that this membership agreement is on a month-to-month basis and will continue unless cancelled by me with 30 days advanced notice. ___________ Initials By Signing Below I agree that I have received, read, this document. Signature of Member: _______________________________________Date: ____________ Fitness Club Representative: __________________________________ Date: ____________ Parent/Guardian Signature if under 18: _________________________ Date: ____________