Online Application Form

1. MEMBERSHIP DETAILS

TITLE: FIRST NAME:
LAST NAME:
GENDER: DATE OF BIRTH:
NATIONALITY:
HOME ADDRESS: CITY:
TEL. NO.: (HOME) TEL. NO.: (WORK) MOBILE NO.:
E-MAIL ADDRESS:
EMERGENCY CONTACT PERSON:
EMERGENCY CONTACT NUMBER:

2. MEMBERS DECLARATION AND PAYMENT DETAILS

I have read, understand and hereby agree to the terms and conditions of membership as defined in Section 4 of this membership form and know that it affects my legal rights. I agree to pay the following fee:

MEMBERSHIP FEE: DATE:
PAYMENT METHOD:
                               For Bank Deposit, please e-mail us your deposit slip at payment@121gymfitness.com

3. MEMBERSHIP TERMS AND CONDITIONS - WAIVER AND RELEASE

4a. Parties

This agreement is made by and between the Primary Member ("You" and your parent, legal guardian or other custodial adult if you are under the age of 18) and 121 GYM FITNESS for the purchase of a membership. By signing this agreement, you come to agree to all of its terms. This document contains the entire agreement between you and 121 GYM FITNESS. This document might also replace and supersedes any previous oral or written agreements. You acknowledge that neither 121 GYM FITNESS nor anyone else has made any representations or promises upon which you relied that are not stated in this agreement.

4b. Representations

  • You agree to abide by 121 GYM FITNESS standards of dress and conduct now in effect or may become effective at any future date.
  • You agree to pay all due amounts for membership and other services.
  • Should you violate or default on any of the terms of this agreement, 121 GYM FITNESS has the right to revoke, limit, or suspend your membership and discontinue or restrict your privilege of using any and all 121 GYM FITNESS facilities. In such an event, you will remain liable for any unpaid balance due to 121 GYM FITNESS.
  • All memberships require final approval of 121 GYM FITNESS management offices.
  • It is your sole responsibility to notify 121 GYM FITNESS of any modifications in your address, phone number, and other important detail information.
  • 121 GYM FITNESS reserves the right to charge extra fees and or dues for your use of any facility or service not included in this agreement.
  • Your membership does not give you any rights in 121 GYM FITNESS management, property or operations.
  • If at any time 121 GYM FITNESS does not exercise its rights available under this agreement, this does not constitute a waiver of its rights in the future.
  • 121 GYM FITNESS reserves the right to change membership prices and or fees for new and or existing members at any time at its sole discretion.
  • If you are under 18 years of age, an adult is required to sign this agreement BEFORE you will be allowed to use any 121 GYM FITNESS facilities.
  • Your Membership Period begins on the date of execution of this agreement.
  • Memberships are not refundable or transferable.
  • 121 GYM FITNESS staff reserves the right to rescind the rights of members not complying with the terms and conditions of the membership.
  • 121 GYM FITNESS management have the rights to terminate the use of privileges without prior notice.
  • Some gym equipments can be used for a limited time only or you can pay additional for extra time.

4c. Liability for Personal Property

121 GYM FITNESS is not responsible for any personal property damaged, lost or stolen on, in or around 121 GYM FITNESS premises, including that which arises out of 121 GYM FITNESS negligence. If you cause any damage to 121 GYM FITNESS property, you are liable to 121 GYM FITNESS for the actual cost of repair or replacement.

4d. Registration and Member ID cards

All members must check in with their membership ID upon entrance to the gym and check out upon leaving. 121 GYM FITNESS requires each member to have a photo taken for your membership record. Upon request, you must show your ID to any 121 GYM FITNESS staff member. Once you have received your membership ID card, you will be required to present it to the front desk upon claiming privileges or referral gifts. There is an administrative charge for replacement of membership ID cards. If you do not have your membership card, 121 GYM FITNESS reserves the right to require you to replace it in order to gain admission to the gym. Your membership ID card is not transferrable or shareable. You agree to not let anyone else use your membership card; if you do your membership may be revoked.

4e. Hours of Operation/Availability

  • All members must call or schedule online before going to the gym. Our staff will confirm if the schedule is still open.
  • 121 GYM FITNESS can modify changes in operating hours, classes, or equipment without any effect on this agreement. If a majority of facilities are unavailable to its members for more than 15 consecutive days for any reason except acts of nature or other events beyond the control of 121 GYM FITNESS, upon your written request, 121 GYM FITNESS will extend your paid membership for the same period of time the facilities were unavailable and for which you have paid dues or fees. 121 GYM FITNESS will strive to provide at a minimum, the following hours of operation at its facilities; Everyday from 6:00am to 11:00pm.

4g. Member initiated Cancellation Policies and procedures for ALL Memberships

You, the buyer, may cancel this agreement at any time prior to midnight of the fifth business day of the 121 GYM FITNESS after the date of this agreement, excluding Sundays and holidays, and receive a refund of unused services. To cancel any and all agreements, please send a mail or deliver a signed and dated notice, which states that you, the Primary member are cancelling this agreement, or words of similar effect. The cancellation notice must be sent or delivered to 121 GYM FITNESS, Lido de Paris Hotel 1036 Ongpin Street Sta. Cruz Manila. Only 1 year memberships not longer than 6 months will be allowed for refund. 6 months and 1 month memberships will not be entertained for refund.

4h. Membership fees and benefits

1 month membership

  • Eligible to receive a referral gift worth P200 after a successful direct referral and P50 after a successful second degree referral sign up for 1 month membership; referral gift worth P1,000 after a successful direct referral and P200 after a successful second degree referral sign up for 6 months membership; referral gift worth P2,500 after a successful direct referral and P500 after a successful second degree referral sign up for 1 year membership.
  • Free gym use for 1 month.

6 months membership

  • Eligible to receive a referral gift worth P200 after a successful direct referral and P50 after a successful second degree referral sign up for 1 month membership; referral gift worth P1,000 after a successful direct referral and P200 after a successful second degree referral sign up for 6 months membership; referral gift worth P2,500 after a successful direct referral and P500 after a successful second degree referral sign up for 1 year membership.
  • Free gym use for 6 months.
  • Free ID, 10 entrance ticket for a friend, 10 calling cards, 20 free shower and locker.

1 year membership

  • Eligible to receive a referral gift worth P200 after a successful direct referral and P50 after a successful second degree referral sign up for 1 month membership; referral gift worth P1,000 after a successful direct referral and P200 after a successful second degree referral sign up for 6 months membership; referral gift worth P2,500 after a successful direct referral and P500 after a successful second degree referral sign up for 1 year membership.
  • Free gym use for 12 months.
  • Free ID, 20 entrance ticket for a friend, 20 calling cards, 40 free shower and locker.

4i. Other guidelines

  • Harassment or intimidation verbally or by physical actions, body language, or any type of inappropriate behavior.
  • Physical contact with another person in a non-consensual, aggressive, or threatening way.
  • Verbally abusive behavior, including angry or vulgar language, demeaning comments or raising your voice at another individual.
  • Sexually explicit conversation or behavior; any sexual contact with another person.
  • Inappropriate, immodest, or sexually revealing attire.
  • Closed toe shoes must be worn in the fitness area.
  • People with body odor, cough, colds, and other sickness will not be allowed to use the gym.
  • Possession of a weapon of any type.
  • Possession, use or being under the influence of alcohol or illegal chemicals while on 121 GYM FITNESS premises.
  • Smoking while on 121 GYM FITNESS premises.
  • Theft or destruction of property.
  • Solicitation or loitering on 121 GYM FITNESS property.
  • Non-member guests/family members are not allowed inside the gym facility during your workout without written authorization by 121 GYM FITNESS Administrative staff.
  • No food or drink is allowed in the facility with the exception of water and sports drinks in a closed, unbreakable, spill proof container.
  • Allowing a non-member to accompany you in the work out area may result in loss of your membership privileges.
  • You are not allowed to keep food, drugs, medicine, fireworks, things with unpleasant smell, and other illegal things inside the locker. Lost locker key card fine will be P1,000. Overnight locker charge will be P500. If not claimed within 3 days, the management has the right to pull out things inside the locker.

4j. Waiver of Liability and Release

You (the Primary Member, each "add-on" member, your guests, personal representatives, family members, heirs, executors, agents, administrators and assigns) agree that engaging in any physical exercise or activity involves risk of injury or damage to yourself or your property. You further agree that if you engage in any physical exercise, or use any 121 GYM FITNESS facility, activity, program, class, personal training or any of its related entities, you do so at your own risk and you assume all risk of injury, illness, damage, or loss to you or your property that might result, including, without limitation, any loss or theft of any personal property. Your assumption of risk includes, without limitations, your use of 121 GYM FITNESS' exercise equipment (mechanical or otherwise), lockers, exercise rooms, lobby area, snack bars, vending machines or any other area or equipment, your participation in any activity, class, program, instruction, or 121 GYM FITNESS sponsored event, whether on or off 121 GYM FITNESS premises. You agree that you are voluntarily participating in the aforementioned activities and use of 121 GYM FITNESS facilities and premises.
By execution of this agreement, you hereby agree to release and discharge 121 GYM FITNESS, its owners, agents, employees, volunteers, representatives, affiliates, successors, assigns and insurers, and agree to defend, indemnify and hold them harmless of and for any and all claims, demands, actions, or cause of action from injury, damage, or loss to person or property asserted by or accruing in your favor and for any cost 121 GYM FITNESS may incur due to your presence at the 121 GYM FITNESS facilities.