Membership:

$30 Monthly + $59 Enrollment Fee + $35 Facility Improvement Fee (FIF)

At Orofino Physical Therapy we can help you alleviate pain, but we also have multiple fitness programs that help promote better health and wellness.

Our one price fits all Members. Pre-Paid Day Passes also available. Fees includes all classes. Receive $5 off a month for using our EFT (Electronic Funds Transfer) option!

The facility has both free weights and machine weights along with a wide assortment of cardio equipment
Showers are available 24/7
Each member is provided with their own access Key Card that allows them to enter the facility 24/7

We hope you will try out our amazing equipment! Signing up is easy! Follow the links below to complete our Membership Form….. As soon as we receive it we will issue you a card that will allow you access to the gym 24 hours a day; 7 days a week!

Print Version

Rules of Enrollment:

Enrollment Fees are good for 1 year. Members can drop/re-sign up for their monthly membership without having to re-pay the initiation fees.
ENROLLMENT FEES apply to all “sign-ups”. Once paid, they are good for 1 year from the member’s initial sign up date. A member can drop their membership not have to repay the enrollment fee if they re-sign up within a year’s time of their initial sign up date. If more than a year passes between a member’s initial enrollment period; they are re-subject to the enrollment fee.
FACILITY ENHANCEMENT FEE ($35) is charged at the time of signup and annually to every member. This fee helps to maintain and improve the facility.
DAY PASSES = $5 (with tax)
EFT INCENTIVE: Take $5 off your monthly membership fee by signing up for EFT (electronic funds transfer).

You don’t have to work around our schedule… our facility is Orofino’s only 24 hour / 7 day a week gym!

Membership Sign-Up

Orofino Physical Therapy & Wellness Membership Agreement

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Enter Email Confirm Email
Best Contact Phone*
Work Phone
Employer*
Date Of Birth*
Emergency Contact Name*
First Last
Emergency Phone #*
Relationship
Membership Options:*
- Monthly Rate ($30 +enrollment fee + FIF Fee)
Please check the box for the gym membership you interested in purchasing. Once you submit this form our staff will contact you for payment. * Please see above section titled "Rules of Enrollment" for details on rules of memberships. ** Please see above for details on enrollment fees.
Please leaves NAMES AND AGES of each family member who will be enrolled:
Please leave Comments/Notes here:
Payment Options
Please choose your payment method: (More details are listed below about each option)
Credit Card Authorization (One Time Only)
- I understand and agree to this one time charge.
I hereby authorize Orofino Physical Therapy & Wellness or its' agent to charge the amount indicated above (Membership Options Section); to the credit card provided below.
EFT Credit Card Authorization (Optional Continuous Electronic Funds Transfer)
- I understand and agree to the EFT Transfer Option
I hereby authorize Orofino Physical Therapy & Wellness or its' agent to charge the amount indicated above (Membership Options Section); to the credit card provided below; once per month. I also understand that immediately following the initial term of the agreement my dues will continue every month on a month by month basis until Orofino Physical Therapy and Wellness is served with a written request for cancellation. All written requests to cancel must take effect no sooner than 30 days from when the written request was postmarked. I further understand that if I am submitting my cancellation prior to the date indicated in the "Initial Term Ends" portion of this agreement that my cancellation will not be processed until that date. A cancellation form may be picked up at the location of your choice. Paid in Full memberships will be renewed automatically by Credit Card Charge at the end of the initial term, for the same amount and same period, unless canceled in writing 30 days prior to "Initial Term Ends" date.
Credit Card Information:
First Last
If you chose the Credit Card Payment Method Above.... Please List Your Name As It Appears On Credit Card
Credit Card Account #:
Credit Card Expiration Date:
CVV Code
Credit Card Billing Address
Street Address Address Line 2 City State ZIP Code
Buyers Right To Cancel*
- I agree to these terms
If you wish to cancel this contract, you may cancel by providing written notice by certified or registered mail to Orofino Physical Therapy & Wellness, P.O. Box 2546, Orofino, ID 83544. This notice must say that you do not wish to be bound by this contract and must be postmarked within three business days from the date on this agreement. The processing fee paid at the time of enrollment is nonrefundable even if cancelled within the authorized three business days. If three day right to cancel is executed, reimbursement of the initial amount paid (minus the processing fee) will be made within 30 days of postmarked date of notice by check or credit card reversal.
EFT & Facility Improvement Fee (FIF) Authorization*
- * I understand and agree to the annual EFT & Facility Improvement Fee(FIF) as noted above
Member agrees to pay a Facility Improvement Fee of $35 upon sign up and every year annually as a condition of being a member. The annual Facility Improvement Fee is drafted annually according to the month you are enrolling.
Acknowledgment of Responsibility*
- I agree to these terms
You acknowledge and agree that non-members are not allowed within any Orofino Physical Therapy & Wellness Facility outside of staffed hours (Mon-Fri 8 am to 5 pm), If you are discovered bringing in or allowing a non-member access to any Orofino Physical Therapy & Welness Facility outside of those staffed hours you agree to pay a $50 fine per incident. You further agree that $50 fine may be deducted from the account you have on file as your billing method within 7 days of incident. Being issued a fine is not a release of contract and in no way releases you from the above term of this agreement. Lastly, you understand that after 3 incidents of being issued a fine that you may be banned from the property of all Orofino Physical Therapy & Wellness Facilities. Being banned does not release you from your contract obligations listed above.
Acknowledgment of Responsibility*
- DO NOT CHECK THIS box until you have read the applicable sections listed on this page. Each Member is entitled to a completely filled in copy of this agreement.
The undersigned acknowledges that the use of equipment, food and nutritional products and services involves an inherent risk of personal injury. The undersigned agrees to assume all risks of personal injury to the undersigned, his or her spouse, children, other family members, guests or invitees waives any and all claims that the undersigned may have against Orofino Physical Therapy & Wellness or any of its agents or successors and assigns (a Orofino Physical Therapy & Wellness Party) for any such personal injury (and no Orofino Physical Therapy & Wellness Party shall be liable to the undersigned or his or her spouse, children, unborn children, and other family members, guests or invitees for any such personal injury) including without limitation (i) injuries arising from the use of any exercise equipment or machines (ii) injuries arising from participation in supervised or unsupervised activities and programs in exercise rooms, shower rooms, weight rooms, or other areas of any Orofino Physical Therapy & Wellness facilities, (iii) injuries or medical disorders resulting from exercising at any Orofino Physical Therapy & Wellness facilities including heart attack, strokes, heat stress, sprains, strains broken bones, and torn or damaged muscles, ligaments or tendons or (iv) accidental injuries within any Orofino Physical Therapy & Wellness facilities, including locker rooms, dressing rooms, office workout or cardio area. No Orofino Physical Therapy * Wellness Party shall be liable with respect to any personal property that is damaged, lost or stolen while on or around Orofino Physical Therapy & Wellness facilities premises including, but not limited to a vehicle or its contents or any property left in a locker room or on your person.
Name Of MEMBER WHO AGREES TO THESE TERMS*
First Last
Date*
Name Of PARENT OR GAURDIAN Who agrees to these terms:
First Last

You Must Enter A Name Here if You Are Signing Up For A Member Who Is Under 18 Years Old.
Date