Chillicothe Fitness & Racquet Club Membership and Fees (All subject to current sales tax) Initiation fee: $75 One time fee due upon joining provided membership remains current (waived if member wishes to join annually, which is a 10% discount from monthly rate) Membership Type Junior Single Couple Family annual/monthly annual/monthly annual/monthly annual/monthly

The Works $29/$32 $55/$61 $69/$77 $83/$92

Our best value! This membership includes unlimited use of all club facilities without court/class fees: • Our state-of-the-art Fitness Center• Tennis Courts • Racquetball/Handball courts • Basketball court • Zumba • Club-Sponsored Group Fitness Classes • Yoga • Spin class • Pilates • Swimming at Chillicothe Club Pool during summer & golf(With annual commitment or PIF memberships only)

Total Fitness $43/$48 $61/$68 $71/$79

This membership includes unlimited use of these club facilities without fees: • Our state-of-the-art Fitness Center • Basketball court • Racquetball/Handball Courts • Zumba • Spin Class • Club-Sponsored Group Fitness Classes • Yoga • Pilates . Senior Matinee Fitness $29/$32 $42/$47

This membership includes the use of our state-of-the-art Fitness Center and attendance at club sponsored group fitness classes for those 65 years and older on weekdays from club open until 3 pm

Juniors are full time students 24 years of age or younger. Couple includes two person families living in the same household. Family Members living in the same household may be included on the family membership.

Area businesses are eligible to participate in our Corporate Discount Program (12% discount). Ask us if your employer is enrolled. Dues are payable monthly through our convenient automatic payment system (see attached form) or, if preferred, payable in full annually with the initiation fee waived plus a 10% discount. Dues may be subject to an annual cost of living adjustment.

Name______Member #2______

Address______Phone______(h) ______(w)

______Email ______Dependents (full time students under 24 & living at home, under family membership): Name______Age____ Name______Age____ Annual Commitment I have joined annually at the rate listed above. My signature indicates that I agree that I am committed to a minimum membership of one year. ______Termination of Membership Members are responsible for their monthly dues through the end of the month in which they give written termination notice to the Club. ______Waiver of Liability The applicant for membership agrees that the use of the facilities and equipment of Chillicothe Fitness & Racquet Club shall be undertaken at the member’s sole risk and that the Club shall not be liable for injuries or damages to members or guests, including, without limitation, those injuries or damages resulting from acts of active or passive negligence on the part of the Club, its owners, officers, employees, or agents. Each member, for himself/herself and family members and guest, and on behalf of his/her executors, administrators, and assignees, expressly releases and forever discharges the Club, its successors and assignees, as well as its owners, officers, employees, and agents from all such claims, injuries, damages, actions, or causes of action. Further, it is agreed that the Club is not responsible or liable to members or guests, for articles or possessions lost, stolen, or damaged, including their automobiles and the contents thereof. Signature______Date______Staff Init.______(If under 18 years of age, must be signed by parent or legal guardian) 12-05-11