$ per 4 week class tuition cycle

A $75.00 lifetime membership fee may be due depending on current membership status.

I hereby authorize My Gym to charge my credit/debit card every four (4) weeks. The current tuition is stated on this form and is subject to change with notification.

Tuition is based on 4 weeks of class programming. Members must inform the gym of an absence a minimum of 2 hours in advance to be eligible for a make-up. Each make-up must be completed within 6 weeks of the missed class. There may be short periods when My Gym is closed or classes are not running. If this occurs and a class is missed, the member is entitled to a make-up. Policies differ for Learn, Create & Explore and other ancillary programs.

This agreement constitutes a continuous payment plan and will remain in effect until terminated by the member. Your child will automatically remain enrolled at My Gym until an official Cancellation Request Form (CRF) has been completed and submitted in person. It is agreed that, when a CRF has been received, the member will be responsible for one final payment on the next scheduled date. This agreement will terminate 4 weeks from that last scheduled payment.

Members agree to remain enrolled for a minimum of two (2) consecutive, recurring payments. A Fee of $15 will be charged for all returned payments. Any and all payments to My Gym are non-refundable and non-transferable under any circumstances. My Gym Southpark Photo Release Form I, hereby grant and authorize My Gym Southpark the right to take, edit, alter, copy exhibit, publish, distribute and make use of any and all pictures or video taken of me or my child to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports and submission to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing. I understand and agree that these materials shall become the property of My Gym Southpark and will not be returned. I hereby hold harmless, and release My Gym Southpark from all liability, petitions, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate. I hereby certify that I am the parent or guardian of the child/ children below, and go hereby give my consent without reservation to the foregoing on behalf of this individual/s.

Multiple Class Discounts - 0% off additional classes for the same child

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