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Credit Card Recurring Payment Authorization Form

With so many new people, we need to update our payment options.  We don’t want to use Paypal, so can you update your payment information for us?  Don’t worry – you won’t be billed twice. 🙂   The new charge on your credit card or debit card statement will be: TEAM JUGGERNAUT LLC. 

Please Complete The Information Below:


We will also be setting you up with an account in our new Team Juggernaut portal. Please choose a username and password for your new account. You will be notified once your account as been created.
By checking this checkbox, you agree that you have read and accept the Terms of Service outlined at the following URL: http://mindandmuscle.net/articles/terms-of-service/
Please provide a method of payment for your Team Juggernaut subscription charges. Your subscription rate and term will remain the same as you are currently enrolled in.
Please double check for accuracy before submitting.
MM/YY format
For Amex, 4 digits on front of card. For Visa/Mastercard, 3 digits on the back.
Please type your name as a digital signature for this authorization.
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MM
DD
YYYY
Please provide today's date of this digital signature authorization.
Using my digital signature above as a fully legal signature, I authorize the above named business to charge the credit card indicated in this authorization form according to the terms outlined above. If the above noted payment dates fall on a weekend or a holiday, I understand that payments may be executed on the next business day. I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify the business in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. This payment authorization is for the type of bill indicated above. I certify that I am an authorized user of this credit card and that I will not dispute the scheduled payments with my credit card company provided that the transactions correspond to the terms indicated in this authorization form.

 

 

THE TRAINING CENTER BY MIND AND MUSCLE PARTICIPATION RELEASE AGREEMENT

This Participation Release Agreement is made on this day, November 18th, 2017, by and between NutraNew, LLC, (“NutraNew”), doing business as The Training Center By Mind & Muscle (“ The Training Center”) located at 74736 S. Gratiot Ave., Clinton Township, MI 48036, and

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to access this website (“The Participant”), collectively herein the “Parties.”

WHEREAS, The Training Center offers various services, including but not limited to, Personal Training, both Personal and Online, Coaching, Diet and Exercise programs, and/or Nutrition Advise and Information; and

WHEREAS, The Participant, wishes to participate in one or more of the various services offered by The Training Center and wishes to release The Training Center from any liability as a condition of participation in one or more of the services offered by The Training Center.

NOW, THEREFORE, The Participant and The Training Center mutually agree to the following terms of release of liability as a condition of participating in one or more of The Training Center’s various services including but not limited to, Personal Training, both Personal and/or Online, Coaching, Diet and Exercise programs, and/or Nutrition Advise and Information.

1. WAIVER AND RELEASE OF LIABILITY As consideration of the right to participate in one or more of The Training Center’s various services, I, The Participant hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in any of The Training Center’s various services including but not limited to, Personal Training Online, Coaching, Diet and Exercise programs, and/or Nutrition Advise and Information, and do hereby release and forever discharge The Training Center, its employees, directors, officers, managers, affiliates, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical and/or psychological injury, including but not limited to trauma, illness, paralysis, death, damages, economical or non-economical loss, that I may suffer as a result of my participation in any of The Training Center’s various services including but not limited to, Personal Training Online, Coaching, Diet and Exercise programs, and/or Nutrition Advise and Information, and including any injury resulting from traveling to and from the event.

I AGREE THAT I AM VOLUNTARILY PARTICIPATING IN ONE OR MORE OF THE TRAINING CENTER’S VARIOUS SERVICES AND I AM PARTICIPATING IN ONE OR MORE OF THESE SERVICES ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THESE SERVICES, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR NON-ECONOMIC LOSS, AND/OR DEATH.

5. INDEMNIFICATION. I, The Participant, agree to indemnify and hold harmless The Training Center against any and all claims, suits or actions of any kind whatsoever arising from my participation in one or more of the various services offered by The Training Center various services including but not limited to, Personal Training, both Personal and/or Online, Coaching, Diet and Exercise programs, and/or Nutrition Advise and Information for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney’s fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf.

10. GOVERNING LAW. This Agreement shall be construed in accordance with, and governed in all respects by, the laws of the State of Michigan, without regard to conflicts of law principles.

11. MEDIATION AND ARBITRATION. In the event that a controversy should arise between the parties to this Agreement of any of the terms, provisions or conditions of this Agreement, or as to any claim of liability arising from The Participant’s participation in one or more of The Training Center’s offered various services, a written request of either party served on the other, shall be submitted for binding arbitration with the American Arbitration Association as the only method of resolution. This binding arbitration proceeding shall comply with and be governed by the provisions of the American Arbitration Association.

12. SEVERABILITY. If any part of this Release Agreement shall be held unenforceable for any reason, the remainder of this Agreement shall continue in full force and effect. If any provision of this Agreement is deemed invalid or unenforceable by any court of competent jurisdiction, and if limiting such provision would make the provision valid, then such provision shall be deemed to be construed as so limited.

13. NOTICE. Any notice required or otherwise given pursuant to this Agreement shall be in writing and mailed certified receipt requested, postage prepaid, or delivered by delivery service, to the addresses set forth above.

14. ENTIRE AGREEMENT. This Agreement constitutes the entire agreement between The Participant and The Training Center, and supersedes any prior understanding or representation of any kind preceding the date of this Agreement. There are no other promises, conditions, understandings or other agreements, whether oral or written, relating to the subject matter of this Agreement.

15. PHOTOGRAPHY & MEDIA

I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

Photographic, audio or video recordings may be used for the following purposes:
• conference presentations
• educational presentations or courses
• informational presentations
• on-line educational courses
• educational videos

By agreeing I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting. I will be consulted about the use of the photographs or video recording for any purpose other than those listed above. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only. By agreeing I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.

THE UNDERSIGNED HAVE READ, UNDERSTAND AND ACCEPT THIS AGREEMENT, AND BY SIGNING THIS AGREEMENT, ALL PARTIES AGREE TO ALL OF THE AFOREMENTIONED TERMS, CONDITIONS AND POLICIES.

By:
Greg Moore, Manager
on behalf of NutraNew, LLC
dba The Training Center By Mind & Muscle

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS “WAIVER AND RELEASE” AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY.

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