IRONSTONE BARBELL MEMBERSHIP AGREEMENT
By inserting your electronic signature and initials on this document, you agree your electronic signature and initials are the legally binding equivalent to your handwritten signature, and you are also confirming that you are the individual named in the electronic signature and initials, and that you are authorized to sign this document.

This is an agreement made on (date specified below), between Ironstone Barbell, LLC, a limited liability company organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office located at 2004 Pleasant View Road, Coopersburg, PA 18036, and
Date *
MM
/
DD
/
YYYY
Full Name *
Your answer
Home Address *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Phone Number *
Your answer
Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Whereas (Initial Below) desires to become a member of Ironstone Barbell, LLC and cannot become a member without agreeing to the rules and regulations set forth below and abiding by the terms of this agreement *
Your answer
Terms and Agreements:
Now, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows:
Membership Fees and Cancellation:
Membership use and services must be paid for in advance. All fees and schedules are subject to change without notice. At the present time, membership fees are as follows:
Membership Type: *
Price of membership is to be discussed with Maggie or Sam (or employee) at time of enrollment.
Disclaimer
The obligation to pay dues is not dependent on the availability of all Ironstone Barbell, LLC’s facilities. Special engagements, repairs, and maintenance of some facilities may make it necessary for Ironstone Barbell, LLC to restrict use of, or close, one or more of the facilities. Fees will not be reduced or suspended during the time when one or more of the facilities are not available. Monthly Members may cancel memberships by signing the cancellation form prior to the first day of the month to be cancelled. If monthly member is unable to sign the form in person, the member must notify Ironstone Barbell, LLC and mail a cancellation form to the facility. There are no refunds for membership fees, Ironstone Barbell, LLC will not prorate a cancelled membership, and member must pay half of the remaining balance owed to Ironstone Barbell.
Three-Day Right of Recession
New members have three days after signing this agreement to cancel their membership without penalty. If the agreement is cancelled within three days, Ironstone Barbell, LLC will return to the member within thirty days all amounts paid. To cancel, new members must come into Ironstone Barbell, LLC and complete the cancellation form at the front desk
Freeze Policy
Contractual members may put their membership on hold, in one calendar month increments, for up to three calendar months per calendar year. Notice of freeze must be given to Ironstone Barbell, LLC personnel over the telephone or in person any time during business hours prior to the first day of the month to be frozen. Members will not be billed for frozen months. Billing will resume automatically upon end of freeze. Yearly Members will have current year extended by the number of frozen months.
Paid in full, no contract, or month-to-month members may not put a hold on their membership at anytime.
Guest Policy
Members acknowledge that each guest must pay a day pass upon entering Ironstone Barbell, LLC. A guest may only purchase a day pass during business hours and must sign a day pass waiver. If a member allows a guest to enter after business hours, the member’s account will automatically be charged for the day pass. Multiple infractions will result in a termination of membership without a refund.
Equipment
All equipment must be used as designed. If member is not familiar with use of equipment, he/she must arrange instruction with a staff member. Members must be familiar with and observe Ironstone rules and regulations posted by the gym. Members who do not observe Ironstone rules and regulations or who abuse equipment in any fashion will be asked to leave. The management reserves the right to terminate membership to anyone who refuses to observe any of Ironstone Barbell, LLC's rules or regulations.
Conduct
Ironstone Barbell, LLC is committed to the health, safety, and welfare of each of its members and staff and will not tolerate unreasonable, threatening, obscene, harassing, indecent, or illegal behavior. Ironstone Barbell, LLC has the right to judge behavior and respond accordingly. This right includes, but is not limited to, termination of membership of any member engaging in unacceptable behavior.
Video Surveillance
Members acknowledge that security cameras are actively used to protect the gym and its members. 24-hour video surveillance is used to allow after-the-fact investigation of health, safety, and rule violation of Ironstone Barbell, LLC.
Key Fob
If a key fob is lost and needs replacement, a member will be charged $5 for a replacement fob.
Lockers
Lockers are available for day use only. Members must supply his/her own lock. Locks and articles left overnight will be removed.
Damages
Members shall pay for any damages to Ironstone Barbell, LLC’s property which results from the willful or negligent conduct of member, member's guest, or dependent children. Any member recorded on security camera damaging equipment or any property of Iron Stone Barbell will be charged accordingly.
Lost Articles
Ironstone Barbell, LLC assumes no responsibility for lost or stolen articles. Lost and found articles not claimed will be donated to charity after 30 days.
Late Payment of Fees
A late payment fee of $5 will be charged on any payment past due. Membership fees must be paid on or before the day of the month when due. Key fobs will become inactive after 10 days of nonpayment.
Cancellation of Membership by Member
A member may cancel his/her membership at upon coming into the gym and filling out the cancellation form, as long as it coincides with the contract the member agreed to and signed.
Change of Rules and/or Regulations
Ironstone Barbell, LLC reserves the right to add to, change or remove rules, conditions of membership, opening and closing hours and the services and facilities offered by Ironstone Barbell, LLC.
Waiver, Release and Assumption of Risk
a. THE UNDERSIGNED MEMBER (“MEMBER”) UNDERSTANDS AND AGREES THAT HE/SHE IS VOLUNTARILY PARTICIPATING IN PHYSICAL ACTIVITIES WHICH MAY EXPOSE MEMBER TO SOME LEVEL OF RISK OR INJURY, AND MEMBER REPRESENTS THAT HE/SHE IS AWARE OF THE NATURE OF THESE ACTIVITIES AND AGREES TO ACCEPT ANY AND ALL RISKS ASSOCIATED WITH PARTICIPATION IN THESE ACTIVITIES.

b. MEMBER REPRESENTS THAT HE/SHE IS IN GOOD PHYSICAL HEALTH, AND THAT MEMBER SHALL NOTIFY IRONSTONE BARBELL, LLC IN WRITING IF HE/SHE BECOMES UNABLE TO PARTICIPATE IN AN ACTIVITY DUE TO SOME PHYSICAL OR MENTAL CONSIDERATIONS. IN CONSIDERATION OF IRONSTONE BARBELL, LLC ALLOWING MEMBER TO PARTICIPATE IN PHYSICAL ACTIVITY WITHIN THE FACILITIES OF IRONSTONE BARBELL, LLC AND USE IRONSTONE BARBELL, LLC’S EQUIPMENT, MEMBER AGREES TO INDEMNIFY AND HOLD IRONSTONE BARBELL, LLC HARMLESS, AS WELL AS ITS DIRECTORS, AGENTS, OFFICERS, AND EMPLOYEES, AGAINST LOSS (INCLUDING REASONABLE ATTORNEYS FEES) FROM ANY AND ALL CLAIMS OF NEGLIGENCE, DEMANDS, RIGHTS, OR CAUSES OF ACTIONS OF ANY KIND OR NATURE THAT MAY HEREAFTER AT ANY TIME BE MADE OR BROUGHT BY MEMBER OR ON MEMBER’S BEHALF FOR ANY KNOWN OR UNKNOWN, FORESEEN AND UNFORESEEN BODILY OR PERSONAL INJURIES, DAMAGES TO PROPERTY AND CONSEQUENCES THEREOF WHICH MAY BE SUSTAINED BY MEMBER AS A DIRECT OR INDIRECT RESULT OF PARTICIPATING IN THE AFOREMENTIONED ACTIVITIES AND USE OF THE EQUIPMENT OF IRONSTONE BARBELL, LLC.

c. AFTER HAVING READ THIS WAIVER AND KNOWING THESE FACTS, AND IN CONSIDERATION OF ACCEPTANCE OF MY PARTICIPATION AND IRONSTONE BARBELL, LLC'S FURNISHING SERVICES TO ME, I AGREE, FOR MYSELF AND ANYONE ENTITLES TO ACT ON MY BEHALF, TO HOLD HARMLESS, WAIVE AND RELEASE IRONSTONE BARBELL, LLC, ITS OFFICERS, AGENTS, EMPLOYEES, ORGANIZERS, REPRESENTATIVES, AND SUCCESSORS FROM ALL RESPONSIBILITY, LIABILITIES, DEMANDS, OR CLAIMS OF ANY KIND ARISING OUT OF MY PARTICIPATION IN IRONSTONE BARBELL TRAINING, PROGRAMS AND/OR EVENTS.

d. THE PROVISION OF THIS PARAGRAPH SHALL CONTINUE IN FULL FORCE AND EFFECT EVEN AFTER THE TERMINATION OF MEMBER’S MEMBERSHIP IN IRONSTONE BARBELL, LLC.
Miscellaneous
a. This agreement contains the entire agreement between the parties, and supersedes any prior written or oral agreements between them concerning the subject matter of this agreement. The provisions of this may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties.

b. Any dispute under this agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect.

c. Member has read, and fully agrees to the terms of this agreement and understands and agrees that by signing this agreement (which contains a waiver, release and assumption of risks) Member has given up considerable future legal rights. Member has signed this agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to him/her. Member certifies and warrants that he/she is 18 years of age or older and mentally competent to enter into this agreement.
WITNESS the signature as of the day and date first above stated.
Ironstone Barbell, LLC
Full Name *
By inserting your electronic signature and initials on this document, you agree your electronic signature and initials are the legally binding equivalent to your handwritten signature, and you are also confirming that you are the individual named in the electronic signature and initials, and that you are authorized to sign this document.
Your answer
Credit Card Number *
Your answer
Credit Card Expiration Date *
Your answer
CVC Code *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service