KDA PERSONAL TRAINING MEMBERSHIP CONTRACT

This field is for validation purposes and should be left unchanged.
Trainer Name – To Be Filled Out By Trainer Only
Address: 17722 Oak Park Ave, Tinley Park IL, 60477 Phone: 708/212-3520 Email: keeshakarriem@yahoo.com (hereinafter referred to as the "Trainer")**
and Participant Name – To Be Filled Out By Participant and/or Guardian
Participant Address(Required)
Start Date
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End Date
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For(Required)
Select Payment Option
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Late payments may incur a fee of $5.00.
Trainer Name
Trainer Signature
Clear Signature
Member's Name(Required)
Member Signature(Required)
Clear Signature
MM slash DD slash YYYY