Enrollment Form: New Member Sign-Up Form

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    Member Details
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    Profile Photo*

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    Address
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    Select Membership

    Memberships Sorted Alphabetically

    1. Family Year Contract Base (2 members)

    ongoing

    Unlimited

    $75.00 / Month

    DESCRIPTION: *Immediate family only. Dad, mom, brother, sister under 18.

    2. Family Year Contract (3 members)

    ongoing

    Unlimited

    $85.00 / Month

    DESCRIPTION: *Immediate family only. Dad, mom, brother, sister under 18.

    3. Family Year Contract (4 members)

    ongoing

    Unlimited

    $95.00 / Month

    DESCRIPTION: *Immediate family only. Dad, mom, brother, sister under 18.

    4. Family Year Contract (5 members)

    ongoing

    Unlimited

    $105.00 / Month

    DESCRIPTION: Immediate family only.

    5. Family Month to Month Base (2 members)

    ongoing

    Unlimited

    $90.00 / Month

    DESCRIPTION: *Immediate family only. Dad, mom, brother, sister under 18.

    6. Family Month to Month (3 members)

    ongoing

    Unlimited

    $100.00 / Month

    DESCRIPTION: *Immediate family only. Dad, mom, brother, sister under 18. Living in same household.

    7. Family Month to Month (4 members)

    ongoing

    Unlimited

    $110.00 / Month

    DESCRIPTION: *Immediate family only. Dad, mom, brother, sister under 18.

    12 Month Single Membership Pre-pay

    Start/End Date (01/01/2026 - 12/31/2026)

    Unlimited

    $660.00 / Year

    DESCRIPTION: 12 months paid up front. Membership will renew at the beginning of the new year and charge your card on file. It is members responsibility to cancel membership before new year.

    [TRIAL] Day Pass

    1 day

    1 day / payment

    $15.00 One-time

    GUARDIAN PLAN

    10 years

    1 day / payment

    $0.00 / Year

    Single Gym Month to Month

    ongoing

    Unlimited

    $70.00 / Month

    Single Membership Year Contract

    ongoing

    Unlimited

    $55.00 / Month

    DESCRIPTION: Twelve month membership split into twelve even payments. Payments are collected on the 1st of each month.
    Waivers

    Assumptions of Risk of Injury and Waiver of Claims

    Assumptions of Risk of Injury and Waiver of Claims In consideration of my use of the exercise equipment, sauna, and facilities provided by Lifestyle Fitness, I expressly agree and contract, on behalf of myself, my heirs, executors, administrators, successors and assigns, Lifestyle Fitness and its insurers, employees, officers, directors, and associates, shall not be liable for any damages arising from personal injuries (including death) sustained by me, or my guest in, on, or about the premises, or as a result of the use of the equipment, sauna, or facilities, regardless of whether such injuries result, in whole or in part, from the negligence of the company. By the execution of this agreement, I accept and assume full responsibility for any and all injuries, damages (both economic and non-economic), and losses of any type, which may occur to me or my guest, and I hereby fully and forever release and discharge Lifestyle Fitness, its insurers, employees, officers, directors, and associates, from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated,resulting from or arising out the use of said equipment and facilities. I expressly agree to indemnify and hold Lifestyle Fitness harmless against any and all claims, demands, damages, rights of action, or causes of action, of any person or entity, that may arise from injuries or damages sustained by me or my guest. I agree to be solely responsible for safety and well being of my guest and myself. I understand that Lifestyle Fitness does not provide supervision, instruction, or assistance for the use of the facilities and equipment. I agree to comply with all rules imposed by Lifestyle Fitness regarding the use of the facilities and equipment. I agree to conduct myself in a controlled and reasonable manner at all times, and to refrain from using any equipment in a manner inconsistent with its intended design and purpose. I understand and acknowledge that the use of exercise equipment involves risk of serious injury, including permanent disability and death. I understand and agree that Lifestyle Fitness is not responsible for property that is lost, stolen, or damaged while in, on, or about the premises. I understand and agree that my use of the facilities and equipment is only to be undertaken on my own personal time, and that my use of the facilities and equipment is not within the course or scope of my employment. I HAVE READ THE FOREGOING WAIVER AND RELEASE OF LIABILITY AND VOLUNTARILY EXECUTED THIS DOCUMENT WITH FULL KNOWLEDGE OF ITS CONTENT. Date: 7/12/2026 Print Name: (name}

    Lifestyle Fitness Membership Agreement

    Lifestyle Fitness Membership Agreement 725 Central Ave Hawarden, IA 51023 Primary Member: N/A Birth Date: N/A Primary Member’s Contact Information Address: N/A Primary Phone: N/A Gym Membership Plan (Plus Tax) For purposes of this payment authorization, the term “I” refers to the new member whose name appears above as the primary account holder and whose signature appears below. “You” refers to my financial institution identified above. I authorize you to pay monthly drafts on my behalf to Lifestyle Fitness Owner. These payments will continue until a written notice is submitted. I agree I am bound by the membership payment terms and unpaid account balance due upon cancellation. I agree that you will be fully protected in honoring these drafts and that your treatment of them and rights respect to them are the same as if personally signed to me. I understand that I must notify Lifestyle Fitness of account changes by the start of the billing cycle of each month, and that I will incur an additional fee of $20.00 per month whenever there is a payment default or return. Client Signature: N/A Current Date: 7/12/2026

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