TERMS AND CONDITIONS
CONTRACT TERMINATION GUIDELINES - 1a, 1b, 1c, 1d, 2
AMERICAN HEALTH CENTERS (AHC hereafter) DISCLOSURES - 3
PAYMENT GUIDELINES - 4, 5 24-7 ACCESS RULES - 6, 7, 8
1a. You have moved more than twenty-five (25) miles from your residence as stated in the contract, and AHC cannot provide comparable facilities and services within ten (10) miles of your new residence. Written verification of your new residence, such as a lease, deed or utility bill is required. Initial:
b. You become unable to use a substantial portion of AHC facilities and/or services for thirty (30) or more days. In the event of medical disability, you must provide AHC with a doctor's statement. In addition, AHC may require you to submit to a physical examination by a mutually agreed upon medical doctor, at their expense. Initial:
c. If AHC relocates its facilities further than five (5) Miles from the location stated in original contract. Initial:
d. Additionally, your estate may cancel in the event of your death. Initial:
2. If I wish to terminate or change my membership in any way, I must provide AHC notice as follows and allow up to 30 days for such change to take affect.
NOTICE SHOULD BE SENT CERTIFIED MAIL TO:
AMERICAN HEALTH CENTERS
ATTN: GYM MEMBERSHIP
PO Box 1057
Coshocton, Ohio 43812
Member may also cancel in person by signing a Cancellation Confirmation. Initial:
3. The American Health Centers Board of Directors may, at their discretion, adjust the weekly or monthly rate applicable to my category of membership. - I will receive at least four weeks' notice prior to any such change. Initial:
4. Should any payment not be honored by my bank/credit card company for any reason:
- I am still responsible for that payment plus a $30 service fee, in addition to any service fee my financial institution may apply. Initial:
4.a. An Annual Maintenance Fee of $37.00 + tax for each Primary Member account will be billed annually on April 1st (initials)
5. American Health Centers reserves the right to terminate membership upon non-payment of fees. Initial:
6. As a member of AHC, I have 24-7 access to AHC facilities, with my access card, and I must abide by 24-7 ACCESS RULES. I understand that my card grants access to me and only me. I will not allow anyone else to use my card. I will not allow a 2nd person to enter during my scan.* I will not open the door to allow anyone in the facility at any time. I will not do anything to interfere with the operation of any doors on the premises. If I lose my card I will report it immediately to an AHC attendant. I understand that I will be charged $10 for any access replacement cards. If I find a card that is not mine, I will immediately return it to an AHC attendant. Initial:
7. I understand that if I loan my access card to any other person, my membership will be deactivated and I will not be permitted to seek another membership, except at the sole discretion of AHC management. Initial:
8. Violation of the 24-7 ACCESS RULES will result in the suspension of the 24-7 access privileges, or complete membership deactivation, at the sole discretion of AHC management. I understand that if only 24-7 access privileges are removed, I will be able to continue the use of my AHC membership during staffed hours for the remainder of my agreement. Initial:
FOR ALL 7-DAY PASS ACCESS CARD USERS
• I understand that I will be refunded $20 for my AHC 24/7 access card as long as I return it within the eighth day of the trial access.
• I understand that the $20 fee paid for my AHC 24/7 access card will be applied to my new AHC membership as long as I sign up within three months of my issue date.
•I understand that if I lose my AHC 24/7 access card that I will be required to pay the $10 replacement card fee during my free week or beyond if I choose to become a member of AHC.
*When scanning into the facility the door will become unlocked for a short duration. the next person to enter is required to scan in to gain access.
** Cards that are reported lost or stolen will be deactivated and a new card issued. If you fail to report a lost/ stolen card and someone else is found using it, it will be considered a violation of this agreement and 24/7 access will be suspended.
INFRARED SAUNA AGREEMENT/ACKNOWLEDGEMENT
1. The use of drugs, medication or alcohol prior to or during the sauna session may lead to dizziness or unconsciousness.
2. Please consult your physician fi you are in doubt regarding your ability to use the infrared sauna for health reasons.
3. No one under the age of 18 is permitted in the infrared sauna unless accompanied by a parent/guardian. (Signature required below)
4. Discontinue the use of the sauna if you feel light-headed, dizzy or heat exhausted.
5. Sauna sessions are limited to one visit/day.
6. Hemophiliacs and persons that are inclined to hemorrhage should avoid infrared sauna usage or any type of heating that would generate vasodilation.
7. Clients using any medications must consult physician or pharmacist prior to use of the sauna.
8. Pregnant women should consult their physician prior to use of the sauna. Excessive body temperatures have the potential for causing fetal damage during the early stages of pregnancy.
9. If you have suffered a recent joint injury that is considered acute, it should not be heated for at least 48 hours or until swelling diminishes.
10. It is advised not to have a full stomach to avoid any if feelings. A good rule of thumb is to not eat for about an hour prior to your sauna session.
11. Detoxification can be sudden for some people. These effects may include dizziness, nausea and fatigue. Most people do not experience these symptoms
MASSAGE CHAIR AGREEMENT/ACKNOWLEDGEMENT
Individuals with serious health conditions and pregnant women should seek medical advice from their physician. In addition please seek advice if the following apply to you:
1.Broken bones 2.Wounds 3.Spinal Injuries 4.High Fever 5.Menstruation 6.Pregnant
7.Scoliosis above several degrees 8.Varicose Veins 9.Pacemakers 10.By-passes
11.Kidney Stones 12.Cancer 13.Osteoporosis 14.Tumors
WAIVER & RELEASE
I do hereby assume full responsibility for any damages, injuries, or losses that I may sustain or incur, if any, while attending or participating in any AHC programs or utilizing an AHC facility. I hereby waive all claims against AHC, its instructors, or partners of said program, individually, or otherwise, for any and all claims for injuries or damages that I might sustain. I understand that there is a risk of injury associated with participation in my AHC exercise program and I certify that I am in good physical condition and have no disabilities that might hamper my participation. The use of other amenities offered by AHC is at my own discretion. I further understand that the employees and practitioners at AHC are not medical doctors and are not attempting to portray or conduct the activities of a medical doctor. I certify that all of the information provided on this form is correct and true. This waiver and release of liability includes without limitation all injuries that I may incur as a result of:
• The use of any exercise equipment products or center amenities, including but not limited to, the infrared sauna, massage chair, halotherapy, tanning, or any additional products or services
• The sudden and unforeseen malfunctions of any equipment
• AHC instruction or supervision
• Slipping and/or falling while on the center premises, including sidewalks and parking lots
I acknowledge that I have carefully read this waiver and release form and fully understand that it is a release of liability. I agree to voluntarily give up any right that I may otherwise have to bring legal action against AHC for negligence, or any other personal injury or property damage or loss action.