Membership Form

Primary Account Member Name*:

Name(s) of Additional Family Members To Be Added To Primary Account*:

Additional Family Members 2:

Additional Family Members 3:

Mailing Address*:

City:

State:

Zip:

Email:

Phone:

Additional Phone Number*:

Mailing Address:

Date Of Birth:

Gym Membership Options

Standard Membership $50.00 / month#of Qualifying Add. members @ $25.00/perSenior Standard Membership (Over 65) $25.00 / month / per personCrossFit Membership (w/ Standard) $75.00 / month / per personCombat Sports Membership (w/ Standard) $75.00 / month / per person / class *additional paperwork required

Jiu-Jitsu

P.R.I.D.E. Taekwon-Do

All In Fitness Boxing Club

Rock Steady

(Note: One class type is included with the Adult Combat Sport Membership, the other classes can be added for an additional $35.00 per month/per class/per person)

Kid’s Class Options (18 and Under)

Kid’s P.R.I.D.E. Tae-Kwon-Do Classes $75.00/month/per child *additional paperwork requiredKid’s Jiu Jitsu Classes $75.00/month/per child *additional paperwork requiredKid’s After School CrossFit Classes $75.00/month/per child

Add-On Options

Monthly Infra-Sauna Package

4x/Month $40.0010x/Month $80.00Unlimited $100.00

Total to be billed monthly: $

** IF ADDING ADDITIONAL MEMBERS: THE PRIMARY ACCOUNT WILL BE THE HIGHEST MEMBERSHIP RATE or CLASS

All In Fitness / CrossFit Grenada Membership Summary:

• Memberships are paid in advance of service on the 1st day of each month.

• New memberships are prorated for the first month. Regular monthly dues apply thereafter with payments made the first day of each month.

• Membership dues are paid by monthly automatic electronic payment (credit card, debit card, or automatic checking account draft)

• Memberships 30 days past due will be cancelled.

• Reinstatement of membership requires payment of all monthly dues owed, all declined/insufficient funds that were charged or accrued before cancellation, and payment of first month of new membership in advance.

• Written/Verbal notice of 30 days must be given to assure cancellation of term memberships. No partial months.

Misc. Billing and Membership Charges

Declined/insufficient funds charge $10 per occurrence Initial

This agreement is between All In Fitness LLC (DBA All In Fitness), hereafter referred to as All In Fitness, and . Hereafter referred to as “member.”

This agreement is entered on(Month/Day/Year).

Membership Terms

A. Your first month at All In Fitness is prorated, contingent upon when this Agreement is initiated relative to the first of each month. Monthly Dues are only prorated once, upon initial enrollment with All In Fitness.

B. Term Membership Payments: All term memberships and guest fees are collected via autodebit(i.e., electronic funds transfer) from either a checking account, debit card or credit card. By providing your checking account, debit card or credit card information you allow All In Fitness to automatically withdraw dues and fees as they come due each 1st of the month.

C. Family Members: Family is defined as spouse or children living in the same household.

D. Dues: If a family membership drops to one member, the dues/membership rate will change to the Individual rate in effect at that time.

Initials

Availability of Facility

A. Members may use the facilities only during scheduled classes, scheduled events, posted operating hours, or by appointment. Operating hours and current class schedules are listed in gym or on website. All In Fitness reserves the right to change operating hours and/or class schedules at its sole discretion without any effect to this agreement.

B. Limited Availability: All In Fitness may close its Facility for seminars, certifications, maintenance, selected holidays and other hours based on municipal requirements. All In Fitness may delete, change, discontinue, repair, or replace any part or all of the Facility without any effect on this Agreement. Should the facility become unavailable for more than fifteen consecutive days (not including Sundays) for any reason including acts of nature, then you may elect to cancel this membership effective the following 1st of the month. All In Fitness will not be responsible for refunding any membership fees paid, including advance payments up to 12 months. Any memberships that are paid for more than 12 months in advance will have the portion corresponding to a term beyond 12 months refunded.

C. Limited Use: If you know or should know you have a problem that might prevent you from using All In Fitness (i.e., medical or family emergency, business travel, vacation, etc...) and you sign this Agreement; you agree that your membership is limited accordingly. However, because this is your choice, you still must pay your monthly dues as if you could use the Facility; there will be no carryover of monthly dues into subsequent months for any time unspent using the Facility in a previous month.

Initials

Cancellation of Membership by Member

A member may cancel his/her membership at any time with at least a 30 day notice. Please remember partial months are not permitted. If a member cancels on or after the 2nd of any month, then a payment will still be due the following month on the 1st and their membership will be valid until the end of that month. There are no refunds for membership fees, and All In Fitness/CrossFit Grenada will not prorate a cancelled membership, except for members that paid 6 or more months in advance. Those that paid 6 or more months in advance will be refunded 1∕2 (half) of the amount remaining in full month amounts rounded down to the nearest month.

Initials

Lost Articles

All In Fitness assumes no responsibility for lost or stolen articles. Lost and found articles not claimed after 30 days will be donated to charity or thrown away.

Smoking, Alcohol, Food and Drink

No smoking is allowed in any part of the facility. Food or drink may be taken into the facilities if it is in a non-breakable, enclosed container. No alcohol is permitted anywhere on the premises.

Conduct

All In Fitness is committed to the health, safety, welfare of each of its members and staff and will not tolerate unreasonable, threatening, obscene, harassing, indecent, or illegal behavior. All In Fitness has the right to judge behavior and respond accordingly. This right includes, but is not limited to, termination of membership without refund of any member engaging in unacceptable behavior.

Initials

Damages

Members shall pay for any damages to All In Fitness property which results from the willful or negligent conduct of member, member’s family member or member’s guest.

Initials

Other Rules and/or Regulations

Members who do not observe All In Fitness / CrossFit Grenada’s rules and regulations or who abuse equipment in any fashion will be asked to leave. The management reserves the right to terminate membership of anyone who refuses to observe any of All In Fitness’ rules or regulations. Not all rules and regulations are listed in this agreement. All In Fitness reserves the right to add, change or remove rules, conditions of membership, opening and closing hours, and all services and facilities offered by All In Fitness.

Initials

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 prior written consent of all parties

B. Member has read, and fully agrees to the term 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.

C. If any portion of this agreement is deemed illegal, void or unenforceable, then the remaining agreement shall remain in effect.

Initials

Billing Options

Name on Card:

Credit Card/Debit Card#

Expiration:

CSV/CVV Code:

Checking Account Number:

Routing Number:

(Please supply a VOIDED check if selecting this option )

WAIVER AND RELEASE FROM LIABILITY

w-100
I,(“Participant”), or Participant’s parent or legal guardian if Participant is under the age of 18 years, have requested the use of All In Fitness’s facilities and/or equipment, or the purchase or provision of lessons, instruction and/or training related to weightlifting, powerlifting, olympic lifting, gymnastics, plyometrics, calisthenics, running, swimming, rowing, biking, climbing, jumping, throwing, diet, nutrition, injury prevention, combat sports and/or activities incidental thereto individually and collectively ("Athletic Activities”) and the use of equipment and facilities at 1229 Sunset Dr, Suite B., Grenada, MS 38901 and/or any public or private location (collectively “Facilities and Equipment”). I understand and acknowledge that serious disabilities, illness (to include “exertional rhabdomyolysis”), death, accidents and injuries can occur during CrossFit Activities at the Facilities and/or through the use of the Facilities and Equipment in which those CrossFit Activities are held, whenever or however they occur and for such period said activities may continue. I further understand and acknowledge that attending, participating in, volunteering at or spectating at CrossFit Activities may require me to perform strenuous activities, or to be exposed to activities, conditions, individuals, equipment or events which have potential to cause death, illness, serious injury, disability, or property loss. Knowing the risks inherent in, and connected with these Athletic Activities, conditions, equipment or events, and with the full understanding of the activities I will be performing, on behalf of myself, my executors, administrators, heirs, successors, assigns, and next of kin, I HEREBY FULLY ASSUME THE RISKS OF INJURY, ILLNESS, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY INHERENT IN, AND/OR IN ANY WAY CONNECTED WITH, ATTENDING, PARTICIPATING IN, AND SPECTATING A CROSSFIT TEAM SAVAGE EVENT OR OTHER CROSSFIT ACTIVITY AT THE FACILITIES EVEN IF ARISING FROM THE NEGLIGENCE OF OTHER PERSONS EXECUTING A SIMILAR WAIVER AND RELEASE FROM LIABILITY.

I understand that I will not be permitted to Participate in Athletic Activities without executing this Waiver and Release. As a condition of my Participation in Athletic Activities,I grant All In Fitness,and its employees,members,partners,officers and agents perpetual and nonrevocable permission to use my name,photographs and video in which my image and likeness appears in connection with my Participation in CrossFit Activities and further grant permission to display,publish,distribute,use,print and reprint such images and likeness,and the right to employ such images or likeness in advertising and promotions relating thereto or to All In Fitness or any Activities at or related to Athletic Activities,including any advertisements or media and electronic displays and transmissions thereof (herein “Likeness Rights”).

I release All In Fitness and its employees, members, partners, officers and agents from any and all liability for damages for use in any manner or media of the Likeness Rights, and waive any and all claims and causes of action for damages for use of the Likeness Rights, including but not limited to: unauthorized use of my likeness, image, character or persona; violation of my right of publicity or privacy; and for copyright or moral rights infringement, defamation, or being cast in a bad light.

I understand and agree that this Agreement is a full and final release covering all known and unknown and unanticipated injuries, debts, claims or damages to him/her that have arisen or may have arisen from any matters, acts, omissions or dealings released in this agreement, including but not limited to the use of the photographs and Likeness Rights. The undersigned acknowledges that he/she is aware that he/she may hereafter discover facts in addition to, or different from, those which he/she now knows or believes to be true, but it is his/her intention hereby, fully and finally and forever, to settle and to release any and all matters, disputes and differences, known or unknown, suspected or unsuspected, that do now exist, may exist or heretofore have existed with respect to those matters described herein.

By signing below, the undersigned also waives any and all rights he/she may have, independently or on my behalf, in connection with my image or likeness on such photograph(s) and Likeness Rights, and consents to, joins with and ratifies all grants of permission, waivers, discharges and releases set forth herein above.

Each member signs once below:

(Type or Print Name)

Date:

I KNOWINGLY RELEASE, INDEMNIFY, HOLD HARMLESS, AND DISCHARGE the following persons and entities: The City of Grenada, Owners and/or Tenants; CrossFit Grenada, LLC.; All In Fitness LLC.; and the officers, members, directors, employees, representatives, independent contractors, family members, and agents (“Releasees”) of any and all of the above in connection with any claim arising from or in any way connected with my Participation in Athletic Activities at the Facilities and/or use of the Equipment, whenever or however they occur and for such period said activities may continue. I AGREE NOT TO BRING ANY CLAIM AGAINST RELEASEE, which claims concern in any way death, injury, damage, or loss of any type or nature, which arise out of, are related to, or are in any way connected with attending, participating in, volunteering at or spectating at Athletic Activities, and/or which arise out of or are connected in any way with my use of, or my presence at the Facility(ies) at which (those) activities held, whether injury, death or disability, loss or damage is caused in whole or in part by negligence, gross carelessness, or other acts or failure to act of those persons or entities.

I HEREBY AFFIRM AND ACKNOWLEDGE THAT I HAVE READ THIS DOCUMENT. I HEREBY AFFIRM AND ACKNOWLEDGE THAT I UNDERSTAND ITS CONTENTS AND AGREE TO BE BOUND THEREBY. IF I AM UNDER THE AGE OF EIGHTEEN YEARS, MY PARENT/GUARDIAN HAS READ AND COMPLETED THE SECTION BELOW.

Date:

(Print Name)

(Signature)

Address: (City, State, ZIP)

Apt #:

Phone No:

PARENTAL CONSENT AND RELEASE

(only complete the following if signing up a child)

The undersigned parent/nature/legal guardian of (“Participant”) hereby executes the foregoing Waiver and Release on behalf of the minor named herein. I hereby bind myself; the minor named herein, his/her executor, administrators, heirs, successors, assigns, and next of kin, to the terms of this Waiver and Release. I represent that I have the legal capacity and authority to act for, or on behalf of, the minor named herein. I agree to indemnify and hold harmless the persons and entities named herein from any claims and liabilities, which may be assessed against them as a result of, or arising out of my legal capacity or my authority to act for and on behalf of the minor named herein in the execution of the Waiver and Release or my execution of the Waiver and Release.

Date:

(Signature Parent or Guardian)

RHABDOMYOLYSIS (“RHABDO”) RELEASE AND WAIVER

(only complete the following if signing up a child)

I, in consideration for continued access to the training facility identified herein as All In Fitness, do hereby acknowledge the significant risks associated with the physical training and programming at this facility. I acknowledge and attest to having fully and carefully read and reviewed this “RELEASE AND WAIVER” including all subparagraphs prior to engaging in any physical activity at this facility.

Rhabdomyolysis (hereinafter referred to as “Rhabdo”) can occur when an individual’s physical activity is so intense that muscular cells begin to breakdown and the contents and/or remaining materials enter the bloodstream. Rhabdo may be caused by many other systemic or environmental causes. However, Exertional Rhabdo can occur in athletes of all levels of fitness, resulting in muscle cell destruction. The skeletal muscle breakdown impairs kidney function as those organs are unable to handle increased enzymes that are released into the bloodstream. This induces severe physiological changes in the body. The symptoms of Rhabdo include muscle pain, stiffness and extreme weakness, darkening of the urine (similar to the color of tea or cola), decreased urine output, altered mental status, swelling of the body part involved, either with or without pain. A Rhabdo symptom is pain out of proportion to the amount of soreness that one would generally expect, often producing pain much quicker than one would expect after a workout.

I understand that any concerns on my part that I am experiencing any of the symptoms of Rhabdo require immediate presentation to a hospital for emergency treatment. I acknowledge that no third party, either from the facility or otherwise, will be capable of monitoring my urine output or color, and it is my responsibility to be continually cognizant of this symptom and all other symptoms and to monitor them in my own body at all times. I agree that I will remove myself from participation and seek medical treatment of my own accord should I have any concerns regarding possible symptoms of Rhabdo. I understand that statistically individuals most likely to experience Rhabdo are those who are in good shape by general standards or who were previously in good physical shape. This includes individuals who were prior athletes. I acknowledge that often the more mentally tough an athlete is and the more athletic they were in the past or currently are, the greater the risk of exposure to Rhabdo.

I agree to monitor myself in a manner that is proportionate to the potential injury that can be occasioned by this condition. I acknowledge and understand that I am the only individual capable of determining if I am experiencing Rhabdo symptoms. I hereby agree and do willingly assume responsibility for any risks that I expose myself to and accept full responsibility for any injury or death that may result from participating in this significantly demanding physical activity. I for myself and on behalf of my heirs, assigns, personal representatives and/or next of kin, forever WAIVE, RELEASE, DISCHARGE and COVENANT NOT TO SUE All In Fitness and/or their officers, directors, representatives, partners, officials, principals, agents or employees, subsidiaries, or assigns, as well as their independent contractors.

I hereby acknowledge that I have witnessed that the above party has fully read this document and has beengiven the opportunity to ask any questions that he/she may have regarding its contents

Date

Signature of Applicant

Parent/Guardian Signature

Date

Signature of Applicant

Parent/Guardian Signature

Date

Signature of Applicant

Parent/Guardian Signature

Date

Signature of Applicant

Parent/Guardian Signature

There is a wealth of medical and popular information regarding the condition known as Rhabdomyolys is available on the internet. It is strongly recommended that you review and evaluate information from all sources available to you prior to executing this Release or participating in strenuous physical activity.