Christmas Holiday BRG Member Family Pass Sign Up Form

  1. *Christmas holiday family pass begins at 12:00 am CST on December 23rd 2017, and ends at 11:59 pm CST on December 25th 2017. 
  2. *BRG members, please have your guest fill this form, one form per guest
  3. *Please e-mail a copy of guest driver license to info@bodyrefinerygym.com
  4. *Last day to submit this form and a copy of guest driver license is BEFORE December 22nd, 2017 1:00pm CST 

Thank you so much, and Merry Christmas!

BRG Member Name *
BRG Member Name
Please include BOTH legal first name and last name
BRG Member Phone Number *
BRG Member Phone Number
Guest Name *
Guest Name
Please include BOTH guest legal first name and last name. One form per guest.
Guest Phone Number *
Guest Phone Number
Start Date Of Visit *
Start Date Of Visit
End Date of Visit *
End Date of Visit
Guest Wavier Part 1 *
Assumption of risk, consent, release and waiver: As a participant and guest of Refinery Fitness Center, LLC b/d/a Body Refinery Gym, I warrant and represent that I am in appropriate physical condition of the physical activities in which I will participant and acknowledge that such physical activities, carry a risk of serious physical injury including substantial and permanent injuries, paralysis, and/or death, and I knowingly and voluntarily assume those risks and waive in advance any claim of liability resulting from those risks, including claims of negligence against the facility, its employees, owners, and agents. I further warrant and represent that I understand the facility is open 24 hours a day, 7 days a week and there will be many hours when the facility will be unstaffed. During any unstaffed hours I agree to: (i) abide by all notices posted in and around the facility; (ii) stay out of any restricted areas, including, but not limited to the front desk, the smoothie bar, any locked rooms, the play center, and any other area which has been designated as restricted; (iii) not allow access to any person or person(s) who are not a member; (iv) not utilize equipment designated as only for use during staffed hours; and (iv) utilize extra caution during unstaffed hours. I acknowledge that utilizing the facility during unstaffed hours will increase my risks of serious physical injury as no parties will be available to assist in the event of an accident or an emergency. I knowingly and voluntarily assume those risks and waive in advance any claim of liability resulting from those risks during such unstaffed times, including claims of negligence against the facility, its employees, owners and agents. On my own behalf and on behalf of my representatives, my estate, successors, assigns, and all persons claiming through me directly or derivatively, I hereby agree to hold harmless, release, and discharge Refinery Fitness Center, LLC d/b/a Body Refinery Gym, and its owners, officers, employees, affiliate companies, and all other participants and nonparticipants associated with the facility (hereinafter the "Released Parties") from any injury that I may receive including from negligent acts of those persons released. I have been fully informed that that the Released Parties will not be liable in lawsuits including negligence lawsuits brought against them by members or their guests.
Guest Wavier Part 2 *
As material consideration of the Released Parties permitting guests to use the facilities, each guest agrees to specifically assume all risks of personal injury, property loss, or other damages including risks associated with fitness classes and equipment, sports exercise, all locker room facilities, and personal training. Furthermore, I agree on my own behalf and behalf of my representatives, estate, successors and assigns to defend the Released Parties from and against and and all claims and liability that may arise by reason of any injury or death I or any guest of mine may sustain from participation in physical activities at the facilities of the facility, whether caused by an intentional act, or by negligence, or otherwise without limitation. This agreement to defend includes any claim, action or liability whatsoever, regardless of whether the claim is made, without limitation, by me, be someone on my behalf or by someone whose claim is derived from my injury or death. I acknowledge and agree: (1) that it is my responsibility to cover any medical bills that I may incur and to cover myself with any medical insurance I may deem appropriate and (2) that I will not and cannot make any claim for medical coverage resulting from any injury or death incurred by me at the facilities owned and operated by the Released Parties. The Released Parties shall not be liable for any loss or theft of my personal property. I also specifically agree that the Released Parties shall not by responsible for any such personal or property injuries, damages, loss or theft, even in the event of negligence, fault or failure to use due care on the part of the Released Parties, and whether such negligence, fault, or failure to use due care is present at the signing of this Agreement or takes place in the future. I hereby agree to follow facility rules as promulgated from time to time. Violation of these rules may be the cause of suspension or cancellation of my gym privileges.
Guest Wavier Part 3 *
I acknowledge that I have read and fully understand this document. I further acknowledge that I am accepting these personal risks and conditions of my own free will. I represent that I am 18 years of age or older and legally capable of entering into this agreement.
 

Memberships


What are the differences between each membership option?

Each membership available focuses on different needs – for example, if you want endless hot yoga classes, sign up for the hot toga membership! See our membership comparison page for complete info.


How do I upgrade or downgrade my membership?

We offer several membership options and you have the privilege upgrade or downgrade your membership at any time by contacting our front desk. Your membership terms and conditions will reset every time. 


How do I freeze my membership?

Our freeze policy allows you to temporarily suspend your membership in accordance with the following terms:

If member is in good standing, member may freeze the membership for up to 3 months for no additional charge, during which time member is not required to pay the membership fee and will not use or access the facility. The key fob for automatic entry will be deactivated during this time and member agrees to not attempt unauthorized access during any periods in which member’s account is frozen. If member wishes to freeze his/her account for longer than agrees to not attempt unauthorized access during any periods in which member’s account is frozen. If member wishes to freeze his/her account for longer than 3 months, Body Refinery Gym will be allowed to charge a $15 monthly fee.  

Please notify us for any freeze requests no less than thirty (30) days before the billing date of the month you want to freeze. Please submit your freeze request form below and we will process your request and get back to you within 1-3 business days after we receive the form.  

See you back soon! 

Name *
Name
Address *
Address
Phone *
Phone
When would you like to freeze? *
When would you like to freeze?

Where can I find my log in information for my online membership account?

After sign up your BRG membership, you will receive a digital copy of your contract with membership number listed. To access your account please visit www.myasfaccount.com. To login, please use your account number on your contract, and you PIN number to log in. Your PIN number will either be the last 4 digits of your Social Security Number if provided, last 4 digits of your cell phone number or just 0000. 

You will also receive you log in bar code to register your BRG mobile app via e-mail. BRG mobile app is free to all current members, both available for iPhone and Android devices. 

iPhone download: Body Refinery Gym
https://itunes.apple.com/us/app/body-refinery-gym/id1137785087?mt=8
Android, Google Play: Body Refinery Gym
https://play.google.com/store/apps/details?id=com.netpulse.mobile.bodyrefinerygym&hl=en


How can I cancel my membership? 

If you wish to cancel your membership, you may cancel it by filling the cancellation request form below to the facility within the time and in the manner set out herein. The notice must say that you do not wish to be bound by the contract and must be delivered, mailed or sent before midnight of the third business day after you sign your contract. If you cancel within three business days, the facility will return to you within three business days all amounts owned to you.

Should you cancel membership agreement after three business days for any reason, you will be subject to a cancellation fee $150 per member, and please check your membership agreement. Please notify us for any cancellation requests no less than thirty (30) days before the billing date of the month you want to cancel. Please include your most recent contact information and we will follow up with you within 1-3 business days after we receive the form. 

Name *
Name
Address *
Address
Phone *
Phone
When would you like to cancel? *
When would you like to cancel?
 

Billing


How can I update my profile/billing information?

You can update your profile/billing information by contacting us at 573-228-9424, e-mail us at info@bodyrefinerygym.com, or Facebook message us at Body Refinery Gym. Please make sure keep us updated as soon as you receive your new card. Any decline transactions will posted a $25 late fee and $10 service fee. 


Who can I contact if I have questions about my account balance or transactions?  

Please contact club at 573-228-9424, e-mail us at info@bodyrefinerygym.com or Facebook message us at Body Refinery Gym to inquire your account questions. 

 

Rewards


What are membership rewards?

With the BRG member rewards program, you earn points each time you check in, join a BRG challenge, reserve a spot in a group class, and more. Then, you can redeem your reward points for swag and rewards – like a free hot yoga session, gift cards to LuLu Lemon, Nike, or Finish Line, and even an Apple watch. Log in to your BRG Perks account to see the points you've earned or check on your mobile BRG app.