TOTAL FITNESS CALGARY
Teofista Boxing Club
SMALL GROUP TRAINING – TOTAL BODY TRANSFORMATION SESSIONS
Membership Start Date: ___/___/___ Expiry Date: ___/___/___
First Name: ___________________ Last Name:________________
Membership Type: �� Unlimited �� 2 per week �� 10 time pass
Membership Term: �� 1 month �� 3 Month �� 6 Month
2. MEMBER DETAILS (Renewing members complete if details have changed)
Sex: �� Male �� Female D.O.B.: ___/___/___ Age: ____ years
Telephone: (H):___________ (W):___________ (Mobile):___________
Emergency Contact Name:______________________
Emergency Contact Phone:______________________
1month-Unlimited Sessions $250 $15/session
1month -2/week Sessions $160 $18/session
3 month-Unlimited Sessions $225 $13/session
3 month-2/week Sessions $144 $16/session
10 time pass $200 $20/session
Drop-in $25 $25/session
MEMBERS DECLARATION & PAYMENT DETAILS
Before signing this document, I have read, understand and hereby agree to the terms and conditions of
membership as defined on the back of this membership form and know that it effects my legal rights.
I agree to pay the following fees to TOTAL FITNESS CALGARY / TEOFISTA BOXING CLUB:
Joining Fee $_________ Term / Monthly TOTAL FEE: $_________
Signature: __________________________________________ Date: ___/___/___
OFFICE USE ONLY:
Total Fees Received $ ______ Payment Type: Cash Chq EFT Visa M/Card B/card
Staff Initials: __ __ Date: __/__/__ Membership Number: __ __ __ __ __
CONTRACT & WAIVER – TOTAL FITNESS CALGARY/TEOFISTA BOXING CLUB
BERSHIP TERMS & CONDITIONS
I _________________________________________ (the “Participant”) have agreed to participate in
TEOFISTA BOXING CLUB/TOTAL FITNESS CALGARY-Small group Total Body Transformation
Sessions. The activities of TEOFISTA BOXING CLUB/TOTAL FITNESS CALGARY-Small group Total
Body Transformation Sessions include strength training, boxing, kettlebells, kickboxing, jumping,
intense cardiovascular activities and flexibility training. I further acknowledge that there are risks
involved in participating in the program. The risks include, but are not limited to, those caused by
terrain, my physical condition, equipment, actions of other people including, but not limited to,
participants, volunteers, and lack of hydration.
In consideration of my being accepted into the program, I agree to release and discharge TEOFISTA
BOXING CLUB & TOTAL FITNESS CALGARY and any of its sub‐contractors, employees, Licensees,
volunteers, supervisors, TEOFISTA BOXING CLUB & TOTAL FITNESS CALGARY; Facilitators of
TEOFISTA BOXING CLUB & TOTAL FITNESS CALGARY, from any injuries sustained by me as a
result of participation in this program.
I agree to indemnify and hold harmless, TEOFISTA BOXING CLUB & TOTAL FITNESS CALGARY,
and any of its Licensees, sub‐contractors, employees, volunteers and supervisors, facilities and
owners of TEOFISTA BOXING CLUB & TOTAL FITNESS CALGARY against any liability incurred as
a result of such injury or loss.
Fitness activities and programs require that I be in good health and have no condition that could
endanger my well‐being through participation. I will notify TEOFISTA BOXING CLUB & TOTAL
FITNESS CALGARY of any such defects in writing prior to enrolling in this program.
The undersigned agrees to save and hold harmless and indemnify each and all of the parties referred
to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said
parties because of any defect in or lack of such capacity to so act and release said parties on behalf of
myself and my successors.
Memberships are not refundable or transferable.
Term memberships are 1,, 3, 6 or 12 month memberships that have a start and end date.
Direct Debit Memberships
Direct Debit is an automatic monthly deduction from a debit or credit card (Visa, BankCard or
MasterCard only) through Paysmart Direct
Debit Billing Service. This is an ongoing membership and deductions will be maintained unless the
member provides authorisation to
cancel the direct debit.
The minimum term of a Direct Debit Membership is 3 months. After the initial three (3) months, the
member may cancel the direct debit.
To cancel a direct debit membership, the member must complete a direct debit cancellation request
form and lodge it to Teofista Boxing Club
30 days in advance. Cancellations received after this date cannot be processed until the following
Cheque or Cash
Post dated cheques filled out to TOTAL FITNESS CALGARY for each month of membership term.
Cash/debit payment is due on or before the 1st or 15th of each month
I the “Participant” agree that any information obtained by participating in TEOFISTA BOXING CLUB
Total Body Transformation Program about it’s program, policies, or structure cannot be used as a
basis upon which to develop or have a third party develop a competing or similar product.
Signature of Participant: ________________________________________________