NOTICE TO THE APPLICANT Sample Clauses
The "Notice to the Applicant" clause serves to formally inform the applicant of important information or requirements related to their application. Typically, this clause outlines the obligations, rights, or next steps that the applicant must be aware of, such as deadlines for submitting additional documents or the consequences of providing false information. Its core practical function is to ensure that the applicant is clearly and officially notified of critical matters, thereby promoting transparency and reducing the risk of misunderstandings during the application process.
NOTICE TO THE APPLICANT. (1) Do not accept or sign this credit agreement before you read it or if it contains any blank spaces intended for agreement terms; (2) You are entitled to a completely filled-in copy of this credit agreement; (3) You may at any time, pay the total indebtedness under this agreement without incurring any additional charges for prepayment.
NOTICE TO THE APPLICANT. (Please Initial)
NOTICE TO THE APPLICANT. Emergency Contact Phone By signing this Application and Agreement you agree that (1) to the best of your knowledge, everything you state on this application is accurate; (2) Richland Sports Performance may retain this application form whether or not it is approved; (3) Richland Sports Performance is authorized to check your references and your credit and employment history, to verify any information you have provided in this application, and to answer any inquiries about the facilities credit experience with you. Signature confirms that you understand and agree to the above and the enclosed Terms and Conditions of Membership and the Rules, Regulations and Policies. Applicant’s Signature Number of sessions per week 2 or 3 Subtotal Cash Check (Payable to CSSMCW) Check # Date Discover MasterCard Visa Card # CVV Exp. Date Signature Date Richland Sports Performance New Member Health Questionnaire Name Date of Birth Age Sex M F Home Address City/State/Zip Phone Health Insurance Physician Date of Last Physical Smoking Sedentary/Inactive Stroke High Cholesterol High Blood Pressure Diabetes Obesity Family History of Heart Disease How would you rate your present level of fitness? Poor Fair Average Good Excellent Do you take any medications prescribed by your physician? Yes No If yes, please specify Are you currently being treated for any heart problems? Yes No If yes, please explain Do you have a history of heart problems? Yes No Heart Attack Bypass Surgery Pacemaker Valve Replacement Angioplasty Stent Placement Have you ever had a stress test? Yes No If yes, when? Have you ever had a cardiac catheterization? Yes No If yes, when? Are you currently involved in a physical or occupational therapy program? Yes No If yes, please explain Have you had any surgeries in the past six months? Yes No If yes, please explain Yes