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Fore Kicks Taunton Fitness Membership Registration
You have requested to register for the following Fore Kicks Taunton fitness membership:
One Month Membership
Total Cost for this Membership is:
Membership or Contact Info (must be at least 18 years of age)
(Double check address, a valid address must be supplied!)
* Phone #
* Date Of Birth
One Month Membership $39.00
Three Month Membership $99.00
Annual Membership $399.00
Total Fitness Annual Membership $599.00
Release and Indemnity Agreement
In consideration of my participation in athletic activities at or use of the facilities and equipment of Fore Kicks' fitness centers and facilities, I agree to assume the risks incidental to such participation and use (which risks may include, among other things, muscle injuries, broken bones and cardiac injury) and on my own behalf, and on behalf of my heirs, executors and administrators, release and forever discharge any and all Fore Kicks facilities and related entities including Fore Kicks II LP, Fore Kicks LP, Fore Kicks II Inc.,Fore Kicks Inc., Fore Kicks III LP, Fore Kicks III Inc and the officers, employees, agents, representatives, successors and assignees of the foregoing entities, of and from all liabilities, claims, actions, damages, costs or expenses of any nature arising out of or in any way connected with my participation in such activity or use of the facilities or equipment and further agree to indemnify and hold each of the released parties harmless against any and all such liabilities, claims, actions, damages, costs or expenses, including, but not limited to all attorney's fees and disbursements. I understand that this release and indemnity agreement includes any claims based on negligence, action or inaction of any of the above released parties and covers bodily injury (including death) and property damage, whether suffered by me, before, during or after such participation. I further authorize medical treatment for myself, at my sole cost, if the need arises.
I HAVE READ THIS RELEASE AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILIY WITHOUT ANY INDUCEMENT. I AM OVER 18 YEARS OF AGE.
I have read the release notes.
By clicking on the Proceed to Payment button below you will be brought to a payment selection screen. At this time, NO PAYMENT IS BEING PROCESSED, and thus you have NOT completed your fitness membership. You must complete this process and pay your membership fee before your membership is active. At the bottom of this screen you have a choice of paying online via credit card or two different "offline" payment options.
* - Required Fields
Credit Card Online (Verisign Secured!)
Credit Card by Phone
Check by Mail
Online credit card payments confirm your membership immediately. All other forms of payment will be confirmed within 24 hours after your payment is received