2023 REPS GYM APPLICATION FORM
SIGN UP FORM WITH REPS MMA CROSSFIT EDWARD STR, 101 OMNIPARK BUILDING, 102 EDWARD STREET, BELLVILLE, 7530, EITHER AT THEIR FACILITIES OR WITH THEIR REPRESENTATIVES / COACHES / AGENTS / MANAGERS AT ANY VENUE / PLACE OR VIA FACEBOOK / ZOOM / WHAT'S APP / VIDEO CONTENT OR ANY PLATFORM NOT MENTIONED HERE.

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  • CONTACT DETAILS

    reps_fitness@yahoo.com | 021 910 2570 | 0826417202 | www.reps.capetown

  • 9 PLEASE DO NOT AUTO-FILL) MEMBER DETAILS

  • PAYERS WORK DETAILS, THIS IS THE DETAILS OF THE PERSON WHO WILL BE RESPONSIBLE FOR PAYING THE ACCOUNT AND THE DETAILS OF THEIR EMPLOYMENT AND OR BUSINESS IS REQUIRED HERE. PLEASE NOTE THAT REPS MMA CROSSFIT EDWARD STR MAY CONTACT YOUR PLACE OF EMPLOYMENT IN THE EVENT THAT THE PAYER AND OR MEMBER IS NOT REACHABLE AND THAT NO CLAIM/DISPUTE WILL BE INSTITUTE/HELD AGAINST REPS MMA CROSSFIT EDWARD STR OR ITS EMPLOYEES/AGENTS/MANAGERS IN SUCH EVENT:

  • SPOUSE / PARTNER / NEXT OF KIN, THIS PART CAN BE ANY PERSON CLOSE TO YOU FOR NOTIFICATIONS, INCLUDING BUT NOT LIMITED, IN CASE OF AN EMERGENCY:

  • *Calendar month: (1st till last day of the respective month).

  • IF MEMBER IS UNDER 18 YEARS OF AGE, THEN THE PARENT'S (IF APPLICABLE) OR LEGAL GUARDIAN/S MUST PLEASE INSERT THE RESPECTIVE DETAILS BELOW:

  • MOTHER

  • FATHER

  • PLEASE READ BELOW, COMPLETE, INITIAL AND SIGN AT DESIGNATED FIELDS

    REPS MMA CROSSFIT EDWARD STR TERMS AND CONDITIONS:

  • 1.THIS CONTRACT IS FOR A MINIMUM PERIOD OF EITHER FOURTEEN (14) MONTHS / PAYMENTS OR SIX (6) MONTHS / PAYMENTS VIA DEBIT ORDER ONLY OR THREE (3) MONTH ADVANCE PAYMENT OPTION OR ONE (1) MONTH TO MONTH DEBIT ORDER PAYMENT OPTION.
    IF YOU DO NOT WISH TO RENEW YOUR CONTRACT AFTER THE FOURTEEN / SIX (14/6) MONTH OPTION PERIOD RESPECTIVELY, REPS REQUIRES A FULL TWO (2) " CALENDAR MONTH'S ", " IN ADVANCE ", WRITTEN NOTICE ON THE LAST WEEK OF THE TWELFTH / FOURTH (12th/4th) MONTH RESPECTIVELY, and ONE CALENDER MONTH period for the 1 MONTH TO MONTH OPTION TO reps_fitness@yahoo.com.
    BILLING WILL PROCEED AFTER THE FOURTEEN / SIXTH (14th/6th) MONTH PERIOD UNTIL A FULL TWO (2) CALENDAR MONTH PAID WRITTEN NOTICE HAVE BEEN RECEIVED TO reps_fitness@yahoo.com.
    PLEASE NOTE THAT: " CALENDER MONTH'S" and " IN ADVANCE " MEANING ABOVE, WILL MEAN THAT, SHOULD YOUR DEBIT DATE FALL ON, FOR EXAMPLE, THE 25TH OF EVERY MONTH, THEN THE WRITTEN NOTICE TO US TO CANCEL MUST HAPPEN BEFORE THE 25TH OF THE MONTH, ANOTHER EXAMPLE: JOHN'S DEBIT DATE IS ON THE 25TH OF EVERY MONTH WITH HIS STARTING DATE: 25.12.2019, THIS WILL MEAN THAT JOHN'S 1ST FULL PAID MONTH WILL BE JANUARY 2020 AND SHOULD JOHN BE ON THE 14TH MONTH OPTION AND JOHN WISHES TO ONLY DO 14 MONTHS, THEN JOHN MUST GIVE US WRITTEN NOTICE ANYTIME BETWEEN 1ST OF DECEMBER 2020 AND 25TH OF DECEMBER 2020 IN ADVANCE FOR DECEMBER 2020 (MONTH 12) SO THAT JANUARY 2021 AND FEBRUARY 2021 WILL ACT AS HIS TWO CALENDER MONTH NOTICE AND AS A RESULT COMPLETES HIS 14 MONTH CONTRACT, HOWEVER JOHN DOES NOT HAVE TO GIVE HIS NOTICE IF HE STILL WISHES TO CONTINUE TRAINING AND WILL ONLY BE ON A TWO MONTH TO TWO MONTH ROLL OVER PERIOD AND CAN GIVE HIS TWO CALENDER MONTH WRITTEN NOTICE ANYTIME AFTER MONTH 12, SHOULD HE WISH TO CANCEL. JOHN DOESN'T HAVE TO RENEW HIS CONTRACT FOR ANOTHER 14 OR 6 OR 3 OR 1 MONTHS AND WILL ONLY BE ON A TWO MONTH ROLL OVER CONTRACT. THIS WILL ALSO APPLY TO THE 6 MONTHS CONTRACT AFTER MONTH 4. JOHN MUST GIVE HIS WRITTEN NOTICE BEFORE HIS DEBIT DATE, AS PER EXAMPLE ABOVE, AND JOHN'S CALENDER MONTH WILL BE FROM THE 25TH OF THE MONTH TILL THE 25TH OF THE FOLLOWING MONTH, HOWEVER LET'S ASSUME THAT JOHN GIVES HIS WRITTEN NOTICE ON THE 26TH OF DECEMBER 2020 (AFTER THE DEBIT DATE WHICH IS THE 25th) THEN JOHN WILL STILL BE LIABLE FOR FEBRUARY 2021 AND MARCH 2021, AS HIS 2 CALENDER MONTH'S WRITTEN NOTICE.


    PLEASE NOTE THAT THE FIXED TERM AGREEMENT WILL NOT STOP AUTOMATICALLY AND WILL REQUIRE YOU TO NOTIFY REPS VIA EMAIL TO reps_fitness@yahoo.com, TO STOP. SHOULD YOU WISH TO STOP BEFORE MONTH 12 ON THE 14TH MONTH CONTRACT OR BEFORE MONTH 4 OF THE 6 MONTH CONTRACT THEN CLAUSE 9 BELOW WILL COME INTO FULL FORCE AND EFFECT.

    THESE PACKAGES EXCLUDES JOINING FEES, FREE MONTHS AND PRO-RATA FEES. I ACCEPT THE FEES : R795 P.M. @ 14 MONTHS PLUS AND R995 P.M. @ 6 MONTHS PLUS AND R3500 ONCE OFF @ 3 MONTHS AND R1500 P.M. @ 1 MONTH TO MONTH AND R450 P.M. Kids 2 CALENDAR Month's Notice WITH ONCE OFF JOINING FEE OF R350 FOR STUDENTS ABOVE 16 YEARS AND ANNUAL FEE OF R350 FOR STUDENTS BELOW 16 YEARS, HAVE BEEN EXPLAINED TO ME AND THAT I HAVE ALSO READ IT HERE AND UNDERSTAND IT'S CONTENTS. SPECIALS MAY BE ADDED TO THIS AGREEMENT WITH PRE-APPROVAL FROM REPS STAFF.

    THE 1ST TILL THE 15TH OF ANY CALENDAR MONTH, WILL BE FOR THAT RESPECTIVE MONTH AND ANY DAY FROM THE 16TH OF THE SAME MONTH UP TO THE END OF THE RESPECTIVE MONTH WILL BE IN ADVANCE FOR THE FOLLOWING MONTH. THE TWO (2) CALENDAR MONTH'S WRITTEN NOTICE, AS DESCRIBED ABOVE, WILL NEED TO BE IN ADVANCE AND WILL NOT BE EFFECTIVE AND EXERCISED IF GIVEN AFTER YOUR CHOSEN DEBIT DATE FOR EXAMPLE: YOUR DEBIT GOES OFF ON THE 1ST OF EVERY MONTH AND YOU GIVE YOUR WRITTEN NOTICE ON THE 2ND THEN THE FOLLOWING MONTH WILL BE USED AS THE 1ST NOTICE MONTH AND NOT THE RESPECTIVE MONTH WHICH NOTICE WAS GIVEN IN.

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  • 2. REPS MAY DEDUCT A DEPOSIT OF 1 FULL MONTH'S FEES ALTERNATIVELY SOME PORTIONS OVER THE CONTRACT TERM TO MAKE UP UNPAID DEBIT ORDERS ESPECIALLY OVER DEC./JAN. ALTERNATIVELY PERFORM A DOUBLE DEBIT. SHOULD YOUR ACCOUNT BE UP TO DATE THEN NONE OF ABOVE WILL BE INSTRUCTED ON YOUR ACCOUNT. REPS WILL TRY TO PUT THE UNPAID DEBIT ORDER THROUGH AGAIN AFTER IT HAS FAILED AT AN ADDITIONAL COST OF R50 TO RECOVER THE COST WE CARRY FOR UNPAID DEBITS, HOWEVER SHOULD YOU REVERSE THE DEBIT UNAUTHORIZED, THEN THE PENALTY CHARGE WILL BE R350.

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  • 3. SHOULD THE PAYER BE UNPAID TO REPS MMA CROSSFIT EDWARD STR ON THE AGREED UPON DAY OF ANY MONTH, WE WILL UNFORTUNATELY NOT ALLOW THE MEMBER ACCESS TO THE GYM. MEMBERS WILL ONLY BE ALLOWED ACCESS ONCE THIS FORM HAS BEEN COMPLETED AND SIGNED. AN UNPAID PENALTY FEE OF UP TO R350.00 MAY BE CHARGED ON ALL UNPAIDS. PLEASE NOTE OUR TERMS ARE STRICTLY 7 DAYS ON ALL OUTSTANDING PAYMENTS. ONLY REPS MMA CROSSFIT EDWARD STR ARE AUTHORIZED TO STOP PAYMENTS AFTER NOTICE HAVE BEEN GIVEN BY CLIENT TO reps_fitness@yahoo.com.

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  • 4. YOU ARE REQUIRED TO PLEASE NOTIFY US IN WRITING OF ANY CHANGES OF ADDRESS OR PERTINENT DETAILS. ALL EXPENSES INCURRED IN RECOVERING OUTSTANDING FEES WILL BE FOR YOUR ACCOUNT ON ATTORNEY CLIENT SCALE INCLUDING A 3% P. M. SORRY WE WILL NOT BE ABLE TO DO REFUNDS UNLESS YOU HAVE OVERPAID US. A DEBIT ORDER CAN BE UNPAID AS A RESULT OF NOT ENOUGH FUNDS OR WRONG ACCOUNT DETAILS OR WHEN YOU REVERSE IT. WE WILL FIRST TRY TO RECOVER THE UNPAID AMOUNT WITH THE ADDITIONAL R50 PENALTY CHARGE AND IF UNSUCCESFULL THEN WE WILL TRY CONTACT YOU TO REQUEST RECOVERY. SHOULD THERE BE NO RESPONSE FROM YOU WITHIN SEVEN (7) DAYS THEN UNFORTUNATELY WE WILL BE FORCED TO HAND OVER THE ACCOUNT IN PART OR IN TOTAL AND YOU WILL THEN BE RESPONSIBLE FOR THE LEGAL FEES ASOCOSIATED WITH IT.

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  • 5. ALL MEMBERS PRACTISE AT THEIR OWN RISK. REPS OR ANY STAFF THEREOFF WILL NOT BE HELD RESPONSIBLE FOR PERSONAL INJURY OR EVEN IN THE UNLIKELY EVENT OF DEATH. ALL CLASSES ARE SUBJECT TO BOOKING THROUGH OUR BOOKING APP. CLASS TIMES ARE SUBJECT TO CHANGE. THERE IS A LIMITED NUMBER OF ONLY 18 MEMBERS PER CLASS (PRIOR TO COVID 19) BUT DURING COVID 19, ONLY 12 MEMBERS PER CLASS ON THE CROSSFIT AREA AND 30 (PRIOR TO COVID 19) BUT DURING COVID 19, ONLY 24 ON THE MAT AREA. THIS AMOUNT IS SUBJECT TO CHANGE AND WILL BE COMMUNICATED TO YOU IN SUCH EVENT.

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  • 6. RIGHT OF ADMISSION RESERVED, YOU HAVE THE RIGHT TO LAY COMPLAINTS IN WRITING TO reps_fitness@yahoo.com, REPS MAY CANCEL THE CONTRACT/PAYMENTS WITH IMMEDIATE EFFECT SHOULD THE MEMBER NOT ADHERE TO REPS TERMS.

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  • 7. ACCESS WILL BE DENIED FOR MEMBERS WHO ARE INTOXICATED OR USING FOUL LANGUAGE, RACIST OR SEXIST REMARKS AT ANY STAGE WHETHER DURING LIVE CLASSES OR ON SOCIAL PLATFORMS. RESPECT THE TRAINING AREA AND YOUR TRAINING PARTNER AND COACH. BAD EGOS AND LOSS OF TEMPER WILL NOT BE TOLERATED. PLEASE DO NOT DROP, THROW OR PUT YOUR WEIGHTS / EQUIPMENT DOWN HARD ON OUR FLOOR. SOME CROSSFIT GYMS YOU CAN DROP AND SOME YOU CANNOT DUE TO THE NOISE FOR THE TENANTS BELOW.
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  • 8. SHOULD YOU ENTER ANY COMPETITION IN GI/NO-GI GRAPPLING, SUBMISSION WRESTLING, JIU-JITSU, MMA AND ANY FORM OF KICKBOXING OR BOXING OR CROSSFIT/OUTDOOR/INDOOR EVENTS, YOU ARE REQUIRED TO COMPETE UNDER REPS MMA CROSSFIT EDWARD STR. YOU ARE REQUIRED TO PLEASE NOTIFY REPS MMA CROSSFIT EDWARD STR BEFORE/WHILE/AFTER JOINING WHETHER YOU ARE TRAINING/TEACHING ANY OTHER FORM OF MARTIAL ARTS OR FITNESS OR PERSONAL TRAINING AT ANY GYM/VENUE AND/OR TRAINING ANY STUDENT/PERSONS TO AVOID CONTRACTUAL DISPUTES AND CONFLICT OF INTEREST TO THIRD PARTIES.

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  • 9. SHOULD A MEMBER WISH TO CANCEL THEIR FIXED TERM ( 14/6 MONTHS RESPECTIVELY ) CONTRACT PREMATURELY, THE MEMBER MUST PAY REPS A REASONABLE CANCELATION FEE ( IN LINE WITH N.C.P.A. ) OF 50 % OF REMAINING MONTHS + 1 FULL, ADDITIONAL CALENDAR MONTH'S PAYMENT FOR ADMINISTRATIVE COSTS FROM ACCOUNT HOLDER TO REPS AND WILL ONLY BE VALID FOR 25 DAYS AFTER CANCELLATION AFTER WHICH IF NO SETTLEMENT PAYMENT HAS BEEN RECEIVED, CLAUSE 1 SHALL APPLY. THE MONTH TO MONTH CONTRACT REQUIRES AT LEAST 30 DAYS NOTICE TO CANCEL IF ON DEBIT ORDER.

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  • 10. REPS MMA CROSSFIT EDWARD STR WILL BE CLOSED FOR A PERIOD OF + - 10 DAYS OVER THE FESTIVE SEASON AND DURING PUBLIC HOLIDAYS, WE MIGHT OFFER ONE CLASS OR NO CLASS AND THIS WILL BE COMMUNICATED ON OUR WHATS APP GROUPS IN ADVANCE. REPS MMA CROSSFIT EDWARD STR ACCEPTS THAT THE NOTIFICATION/S MESSAGES SEND FROM REPS MMA CROSSFIT EDWARD STR, VIA WHATSAPP, HAS IN FACT REACHED YOURSELF OR A PERSON ON YOUR BEHALF, REGARDLESS WHETHER YOU ARE ON THE GROUPS OR WHETHER YOU CHOSE ANOTHER PERSON TO BE ON THE GROUPS ON YOUR BEHALF. PLEASE NOTE THAT REPS GYM WILL NOT BE HELD LIABLE FOR DAMAGES/ CLAIMS OF ANY NATURE, SHOULD YOU CHOSE NOT TO BE ON THE APPROPRIATE GROUP/S FOR YOUR CHOSEN ACTIVITY/IES, WHETHER FOR YOURSELF OR ON BEHALF OF SOMEONE ELSE. YOU HEREBY GIVE PERMISSION TO RECEIVE MARKETING / NEWS LETTERS AND NOTICES MATERIAL FROM REPS. WE WILL NOT SPAM YOU. WE ARE CURRENTLY USING WHAT'S APP GROUPS TO COMMUNICATE EFFICIENTLY AND WE WILL ADD YOU TO THE RESPECTIVE GROUPS FOR THE NOTIFICATIONS, HOWEVER WE PREFER TO COMUNICATE ANY CANCELLATIONS AND OR DISPUTES VIA EMAIL AND MAY CC IN OUR LEGAL TEAM FROM TIME TO TIME.

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  • 11. FEES WILL INCREASE ANNUALLY BY NOT MORE THAN 5%. A FULL COPY OF THIS CONTRACT CAN BE MADE AVAILABLE ON WRITTEN EMAIL REQUEST AT ANYTIME. PLEASE NOTE THAT WE ARE ALSO ABLE TO OFFER ONLINE MATERIAL AND OUR GYM IS A SPECIALIZED SKILLS TRAINING CENTER AND NOT ONLY LIMITED TO AVAILABILITY OF EQUIPMENT, AS WITH OTHER COMMERCIAL GYMS, HENCE THE REASON FOR PAYING HIGHER FEES AND USING LESS EQUIPMENT. IN THE EVENT THAT REPS GYM WILL NOT BE AVAILABLE, FOR YOU TO USE, DUE TO A ' FORCE MAJURE " OR ' VIS MAJOR " INCLUDING BUT NOT LIMITED TO A EPIDEMIC OR PANDEMIC EVENT, THEN OUR COACHES ARE EQUIPPED TO OFFER YOU THE SAME TRAINING AND TIMES VIA ONLINE MATERIAL AND OR LIVE CLASSES. THE POSSIBILITY WILL BE AVAILABLE TO RENT EQUIPMENT FROM US WITH ONLY A REFUNDABLE DEPOSIT PAYABLE. WE CAN ALSO TRAIN AND TEACH AT OTHER VENUES WHICH WILL SUIT BOTH PARTIES AS A POSSIBILITY. YOU ACCEPT THAT BY SIGNING UP WITH US YOU ARE DOING SO BY NOT LIMITING IT TO OUR FACILITY ONLY AND THAT WE WILL USE A CASE BY CASE STUDY WITH REGARDS TO SUCH SITUATIONS. THE "IMPOSSIBILITY FACTOR" WILL NOT BE USED AGAINST REPS GYM, DUE TO SUCH EVENT/S, AS REPS GYM AND IT'S STAFF HAVE BEEN PREPARED BY THE COVID 19 EVENT AND ARE THEREFORE PREPARED TO OFFER THE SAME QUALITY TRAINING.

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