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Join the community who celebrate living life to the fullest – no matter your fitness level.

Sign Up Form

Personal Details

Your Name(Required)

First Last

ID Number(Required)

Your Email(Required)

Mobile Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Next of Kin(Required)

Next of Kin Contact(Required)

Packages

Which location are you interested in?(Required)

Package Options(Required)

3 x per Week

Unlimited

All Access

Package Options(Required)

3 x per Week

Unlimited

All Access

Package Options(Required)

3 x per Week

Unlimited

All Access

Package Options(Required)

Individual

Couples

3x per week(Required)

12 Months - R1075.00

6 Months - R1175.00

Month-to-Month - R1300.00

3x per week(Required)

12 Months - R1100.00

6 Months - R1225.00

Month-to-Month - R1400.00

3x per week(Required)

12 Months - R900.00

6 Months - R975.00

Month-to-Month - R1075.00

3x per week (Couples)(Required)

12 Months - R2000.00

6 Months - R2200.00

Month-to-Month - R2425.00

3x per week (Couples)(Required)

12 Months - R2100.00

6 Months - R2350.00

Month-to-Month - R2700.00

3x per week (Couples)(Required)

12 Months - R1,700.00

6 Months - R1,850.00

Month-to-Month - R2,050.00

Unlimited(Required)

12 Months - R1350.00

6 Months - R1525.00

Month-to-Month - R1650.00

Unlimited(Required)

12 Months - R1350.00

6 Months - R1575.00

Month-to-Month - R1750.00

Unlimited(Required)

12 Months - R1,150.00

6 Months - R1,325.00

Month-to-Month - R1,425.00

Unlimited (Couples)(Required)

12 Months - R2450.00

6 Months - R2800.00

Month-to-Month - R3025.00

Unlimited (Couples)(Required)

12 Months - R2450.00

6 Months - R2900.00

Month-to-Month - R3250.00

Unlimited (Couples)(Required)

12 Months - R2,100.00

6 Months - R2,450.00

Month-to-Month - R2,650.00

All Access(Required)

12 Months - R1550.00

6 Months - R1775.00

Month-to-Month - R1900.00

All Access(Required)

12 Months - R1550.00

6 Months - R1775.00

Month-to-Month - R1900.00

All Access(Required)

12 Months - R1550.00

6 Months - R1775.00

Month-to-Month - R1900.00

All Access (Couples)(Required)

12 Months - R2850.00

6 Months - R3300.00

Month-to-Month - R3525.00

All Access (Couples)(Required)

12 Months - R2850.00

6 Months - R3300.00

Month-to-Month - R3525.00

All Access (Couples)(Required)

12 Months - R2850.00

6 Months - R3300.00

Month-to-Month - R3525.00

Payment Type

Payment Method(Required)

Debit Order

Banking Details

Account Holder Name(Required)

Bank Name(Required)

Branch Code(Required)

Account Number(Required)

Terms & Conditions(Required)

Noted

Month-to-Month agreements will require 30 calendar days' notice to cancel, no partial months. 6 and 12 months contracts must be honoured and the full amount outstanding will be paid upon termination. Cancellations must be sent to [email protected].

Debit Order Date(Required)

1st

15th

27th

Signature(Required)

Date of Signature(Required)

Consent(Required)

I agree to the policy.

Waiver and Release of Liability

This form is an important legal document. It explains the risks you are assuming by partaking in the Willow Way Fitness training program. It is critical that you read and understand it completely. After you have done so, please print your name legibly and sign in the spaces provided.

I, the undersigned, have volunteered to participate in a program of physical exercise under the direction of Willow Way Fitness Instructors, which will include but may not be limited to, weight and/or resistance training. In consideration of Willow Way Fitness’s agreement to instruct, assist, and train me, I do here and forever release and discharge and hereby hold Willow Way Fitness, harmless from any and all claims, demands, damages, rights to action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting, therefore.

I understand and am aware that strength, flexibility and aerobic exercise, including the use of equipment, is a potentially hazardous activity. I also understand that the fitness activities involve a risk of injury and even death, and that I am voluntarily participating in these activities and using equipment and machinery with knowledge of the dangers involved. I indemnify the Willow Way Fitness training methods and the premises in which the program is conducted, and I hold them harmless against any claims that may arise as a result of my participation in this program. I hereby agree to expressly assume and accept any and all risks of injury or death.

I hereby further declare myself to be physically sound and suffering from no condition that would prevent my participation or use of machinery or equipment.

I hereby further declare and take full responsibility for my children as their legal guardian and that I fully understand the risks of Willow Way Fitness. The use of equipment and physical exercise by individuals in the gym can potentially be hazardous to Children. Willow Way Fitness takes no responsibility and I hold them harmless against any claims that may arise. I accept all risks of injury or death.

I hereby further declare that I have not had a physical examination and have chosen to participate.

I hereby further declare that I will participate without the approval of my doctor and do hereby assume all responsibility for my participation and activities, and utilisation of machinery and equipment in my activities.

I hereby indemnify Willow Way Fitness.

I acknowledge that I have thoroughly read this waiver and release and fully understand that it is a release of liability. By signing this document, I am waiving any right my successors or I might have to bring a legal action or assert a claim against Willow Way Fitness.

Use of pictures(s)/film/likeness: I agree to allow Willow Way Fitness, its agents, officers, principals, employees and volunteers to use picture(s), film and/or likeness of me for advertising purposes. In the event, I choose not to allow the use of the same for said purpose, I agree that I must inform Willow Way Fitness of this in writing.

Authority to Debit Mandate:(Required)
I agree to the authority to debit mandate.
o As an authorised signatory of the bank account (or any other account to which I may transfer) I authorise Willow Way Fitness to debit the fees, associated amounts and/or monthly instalments for the duration of the Contract, unless reimbursed and/or paid for upfront by cash or card.

o If this authority is cancelled, I acknowledge that such cancellation will not automatically cancel the Contract and I/the member will remain liable for payment.

o I undertake to ensure that funds will be available and authorise Willow Way Fitness to re-submit the debit and/or implement tracking on this account and collect funds as soon as they are available if the debit is unsuccessful.

o I acknowledge that the bank may charge additional fees for re-submission.

o I acknowledge that I am not entitled to any refund while this authority is in force if such amounts were legally owing to Willow Way Fitness.

o I acknowledge that my debit order amount might change from time to time due to changes in my membership package and here by authorise Willow Way Fitness to debit my account (as per invoice) according to any changes to my membership package. Changes to my membership package must be provided in writing (via email) to Willow Way Fitness one full calendar month before the next payment is due. One full calendar month means, 30/31 days (as applicable) from the start to the end of the month before the change will be made.

o I authorise Willow Way Fitness to disclose to any credit bureau any information concerning this credit profile and payment history.

o the bank details provided must be for a bank branch within the Republic of South Africa.

o If the payment falls on a Saturday, Sunday or recognised South African public holiday, the payment day will automatically be the very next ordinary business day.

o The first debit will be determined by the start date of the membership and that subsequent debits will run on or about the dates chosen above.

o I hereby further declare and understand that one full calendar month notice in writing (via email) must be given upon cancellation of my membership.
One full calendar month means, 30/31 days (as applicable) from the start to the end of the month. Should notice be provided during the month, the next month (preceding calendar month) will be regarded as your notice month and therefore you are liable for one more monthly payment before your debit order will be stopped. Should a cancelation fee be applicable the cancelation fee will be added to your last debit order payment.
For example, if written notice is received during March your last debit order will run in April and the debit order will be stopped from May onwards. The amount of the last debit order will be one month’s membership fee (notice payment) plus a cancelation fee if applicable.

Terms and Conditions(Required)
I agree to Willow Way's terms and conditions.
1. DURATION:

This agreement commences on the commencement date and continues for the selected duration of the contract. Upon expiry of the contract term, the contract shall continue as is (on a month-to-month basis) if not cancelled or renewed through written notice (via email) for a further/different term.

2. UNDERTAKINGS BY YOU:

When you are required to provide Willow Way Fitness with details and personal information you undertake that it will be true, accurate and complete. You accept that the details and information which you have supplied and will supply to Willow Way Fitness will be relied upon by Willow Way Fitness to provide you with the services and for statistical and research purposes.

You undertake not to use, in any circumstances, the trademarks, logos, designs, trade names, the copyright, know-how and patents relating to Willow Way Fitness. If you do use any of these intellectual property rights, you will be liable for any damages that may be suffered, and you may also be liable to criminal prosecution. You indemnify Willow Way Fitness for every single consequence flowing from the unauthorized use of these intellectual property rights.

3. BREACH:

If you fail to observe or perform any of the Terms and Conditions of this agreement, then Willow Way Fitness shall be entitled, if it decides to do so, to immediately suspend your entitlement to membership to Willow Way Fitness until such time as the breach has been remedied to the satisfaction of Willow Way Fitness, or to terminate this agreement immediately. Whichever remedy Willow Way Fitness may select, it may still claim damages against you and exercise any rights against you which it has in law. Willow Way Fitness has no obligation to notify you in advance of the remedy which it may choose.

4. CESSION AND DELEGATION:

You may not cede any of your rights or delegate any of your obligations under this agreement to any person or entity without Willow Way Fitness’s consent. Willow Way Fitness shall be entitled to cede, assign, or delegate any of its rights and obligations under this agreement to any person or entity without your consent.

5. TERMINATION:

Termination of any membership will require at least one full calendar month notice provided in writing (via email).
One full calendar month means, 30/31 days (as applicable) from the start to the end of the month. Should notice be provided during the month, the next month (preceding calendar month) will be regarded as your notice month and therefore you are liable for one more month’s payment before your debit order will be stopped. Should a cancelation fee be applicable the cancelation fee will be added to your last debit order payment.
For example, if written notice is received during March, your last debit order will run in April and the debit order will be stopped from May onwards. The amount of the last debit order will be one month’s membership fee (notice payment) plus a cancelation fee if applicable.

6 and 12 month contracts must be honoured and the full amount outstanding will be paid upon termination. Cancellations must be sent to [email protected]

If you wish to freeze your membership a once off reactivation fee of R1000 will be charged on top of your membership fee. Membership freeze is allowed for maximum one month per year.

6. DOMICILIUM:

You choose domicilium citandi et executandi for all purposes under this agreement:

ADDRESS

All notices in terms of this agreement shall be in writing (via email).

If a notice is delivered by hand, it will be deemed to have been received at the time of delivery. If a notice is transmitted by facsimile or e-mail, it shall be deemed to have been received on the first business day following transmission.

7. GENERAL:

You consent to the jurisdiction of the Pretoria High Court in South Africa in respect of any proceedings that may be bought by Willow Way Fitness against you arising out of this agreement.

Either party may elect to refer any dispute to arbitration, to which the other party consents.

This agreement constitutes the entire agreement between Willow Way Fitness and you relating to your membership. Any changes to this agreement must be in writing and may take the form of notifications by Willow Way Fitness to you.

If one or more of these terms are found to be unenforceable, that term shall be deemed to be severable from the remainder of these terms and the remaining terms of this agreement shall in all other respects remain in full force and effect.

There are risks associated with exercising and using gym equipment which can result in serious injury and even death. You accept responsibility for such risks. We recommend that you seek medical advice before you start a new exercise regime and that you always exercise to a level that is appropriate, given your knowledge of your health and any medical advice that you have obtained. You accept all risk and responsibility for nutritional, exercise or any other advice or plans that may be recommended to me.

I accept it is my responsibility to ensure that I am medically fit to exercise and I will seek medical advice if I am unsure of my medical condition. I understand and agree to the following disclaimer: To the fullest extent permitted by law, Willow Way Fitness, or any of their direct or indirect affiliates who may give you access to their facilities as a result of this Contract, and/or their directors, employees and independent contractors.

(Collectively, ' Willow Way Fitness ') shall not be liable for any loss or damage whatsoever and howsoever arising (including from any nutritional, exercise or any other advice) suffered by me or any of my dependents, including (without limitation) loss or damage to person or property from a negligent (other than a grossly negligent) act or omission of Willow Way Fitness, other members or guests.

Phone
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