Club # ______________
Folio # _____________
Paid By_____________
Rec. By _____________
Amount ____________
2015-2016
Winter Membership Applications
(Rev 9.9.15)
Date_______________________________
Name _________________________________________________________________
Island Address: _______________________________________________________________
_______________________________________________________________________________
Cell Phone: (#1) _________________________ (#2) __________________________
Email: (#1) _________________________________________
Emergency Contact: ______________________________________________________________
Club Membership Sales
Carolyn Hills – 508-901-1296
[email protected]
Club Manager
Deb Lawrence – 508-901-1295
[email protected]
Hours of Operation:
Mondays thru Fridays
7am – 8pm
Saturdays, Sundays & Holidays
8am – 6pm
(Subject to change)
The Nantucket Club encourages families of all ages to enjoy our facilities.
We have a reserved hot tub and fitness center for all members 14 and over.
Payment: Please make payment by check.
For all other charges on site, please complete the attached Credit Card Authorization
Form. (e.g., Breeze, Gift Shop, massages, etc.)
1) Individual Year-Round Gym & Class
Annual
$4,198 or $3,200 proof of yr.- round residency
o Full gym use
o Yoga & Fitness Classes o Kids’ Club
o Massage treatment rooms (cost of massages additional) o Locker rooms with separate men’s and women’s saunas o Charging privileges at the Breeze Bar & Café
o Guest passes permitted
o Access to hot tub Oct. 12-May 15 o Note: Pools NOT included
2)
Individual Extended Winter September 14, 2015 – June 13, 2016 $1,450
o Use of swimming pools (in Autumn and Spring) o Full gym use
o Yoga & Fitness Classes
o Massage treatment rooms (cost of massages additional) o Locker rooms with separate men’s and women’s saunas o Hot tub
o Kids’ Club
o Charging privileges at the Breeze Bar & Café o Guest passes permitted
o Note: Pools available Sept. 14-Columbus Day, mid May – June 13
Classes only $1,150
3)
Individual Winter Fitness October 12, 2015 - May 15, 2016 $1,100
o Full gym use
o Yoga & Fitness Classes
o Massage treatment rooms (cost of massages additional) o Locker rooms with separate men’s and women’s saunas o Hot tub
o Kids’ Club
o Charging privileges at the Breeze Bar & Café o Guest passes permitted
Classes only $900
4)
Individual Winter Fitness Mid-Day Special - 12 Noon-4pm
October 12, 2015 - May 15, 2016
$695
Extended program -
September 14, 2015 – June 13, 2016
$795
Business program: four (4) memberships
$2,380
Payment must be made by the business = $595 pp
o Full gym use
o Massage treatment rooms (cost of massages additional) o Locker rooms with separate men’s and women’s saunas o Hot tub
o Charging privileges at the Breeze Bar & Café o Guest passes permitted
5)
Individual Professional Courtesy Membership
(School employees, hospital employees, police & fire departments, EMT, Coast
Guard)
Winter Extended September 14, 2015 – June 13, 2016 $1,295
(Note: Pools available Sept. 14-Columbus Day, mid May – June 13)
Winter
October 12, 2015 - May 15, 2016
$995
o Full gym use
o Yoga & Fitness Classes
o Massage treatment rooms (cost of massages additional) o Locker rooms with separate men’s and women’s saunas o Hot tub
o Kids’ Club
o Charging privileges at the Breeze Bar & Café o Guest passes permitted
All membership options on this application also include the following:
Club Social events
Advance notice and reservations for special events: Thanksgiving buffet dinner,
Stroll events, New Year’s Eve Ball, etc.
Fire Truck Rides – daily upon request with driver availability
Morning Coffee station
Cookies & Beverages – weekends
S’mores – Tuesdays, Thursdays & Saturdays – 7:30-8:30pm
Concierge Services
Membership Terms and Conditions
Payment:
o The dues and fees’ charges will be set prior to each membership year. o Payment must be made in full upfront.
o Upon acceptance, each Member must provide The Club with a major credit card number or ACH Debit account number issued to the Member and, by signing this application, hereby
authorizes The Club to charge that credit card. Every month, any additional charges or purchases will be charged automatically to the credit card on file. The Club may also suspend and/or
terminate the membership of any Member if The Club’s attempt to charge to the Member’s credit card is rejected. Any Member whose account has an amount due at the month’s end, which is not cleared in 5 days will be charged a $15 penalty fee and have his/her account suspended. o Every Member will be assigned a membership number to charge spa services, retail items and the
Breeze Bar & Cafe to his/her account. However, cash and checks are accepted for charges and purchases.
o A resigned Member must continue to pay all dues and other amounts required of Members through the end of the membership year in which The Club received notice of the Member’s resignation. There will be no refund of dues. Winter Memberships are non-transferable.
o For personal training appointments and spa treatments, the Club will charge the full price to those who reserve, but do not attend or cancel within 24 hours, assuming the reservation cannot be rebooked.
Guests & Guests’ Fees for all Membership Options:
Members may have a guest use The Club Facilities when the member is present, in accordance with The Club’s guest policies. The member will be responsible for the payment of charges incurred, but not paid by his or her guests, including any applicable daily guest fees established by The Club from time to time.
o Child Guest Fee is $15/day (Ages 7-14 for Kids’ Club) or 14-18 for use of The Club. o Guest may use the pools only if the member has an Individual Year-Round Membership. o Guest must be accompanied by members at all times.
o Each guest can visit The Club for a maximum of 3 days a year.
o Members must sign in and pay for all guests at The Nantucket Club reception desk when visiting The Club and attending a class.
o At peak times, The Club may limit the number of guests using The Club’s facilities. Proper Behavior:
o Members and their guests are expected to conduct themselves in a respectful, honorable, and courteous manner. Any Member whose behavior is improper or likely to endanger the safety, harmony, or good reputation of The Club, its Members, or its staff may be reprimanded, fined, suspended, or expelled from The Club at the discretion of The Club Management. In addition to their own conduct, Members are responsible for the conduct of their guests. Guest privileges may be denied, withdrawn, or revoked at any time for reasons considered sufficient by The Club in its sole discretion. The Member may also face disciplinary action if The Club determines that the conduct of such Member’s guest is improper. Members and their guests shall treat the staff with the same level of respect which Members expect from the staff. Members of The Club shall not reprimand employees. Any member who disrespects this policy may face disciplinary action, up to and including termination of membership.
Proper Attire:
Proper athletic attire/work-out clothes and shoes must be worn in The Club. Ladies’ clothing must be over torso; gentlemen’s shirts must be sleeved and baseball hats worn forward.
Misc. Rules:
o Privately owned alcoholic beverages are not permitted in The Club. Per State laws, alcohol will not be served to any person under the age of 21. Alcoholic beverages purchased at Breeze may not be taken off the property. Management reserves the right to refuse alcohol service to a Member or guest at their discretion.
o Cell phone conversations are not allowed in the gym, spa, locker rooms, hot tub or pool area. o No Member or guest shall take or borrow any article belonging to The Club. Members are liable
for property damaged or destroyed by themselves, their family, or their guests. The Club is not responsible for the loss or damage of property of Members or their guests.
o Lockers are for day use only and must be cleaned out every night. Anything left at the end of the day will be discarded by the Housekeeping staff.
o Smoking is not permitted anywhere on The Club and hotel grounds. o Pets are not permitted anywhere on The Club and hotel grounds.
o All Members and guests are required to sign the Fitness Center Waiver and Release prior to utilizing The Club.
o Foul language is not permitted on The Nantucket Hotel property.
o iPads may not be taken into the locker rooms, saunas, hot tub, pools or off the property.
o After hours use of the Kids’ Club: Children must be supervised by an adult aged 18 years or older. o Club members must check in at The Nantucket Club reception desk before using the facilities and
present their Club photo ID.
o The Kids’ Club schedule is provided to support your fitness program, while you are working out in The Club or enjoying the classes.
Liability & Release:
o I hereby acknowledge that The Club facilities are undertaken with knowledge of risk of possible injury. I hereby accept any and all risk of injury to myself, my guests and my family sustained while using The Club’s Facilities or while involved in any event or activities incident to membership in The Club. I agree to release and hold harmless Nantucket Hotel Holdings LLC (the “Company”} doing business as The Nantucket Hotel & Resort and The Nantucket Club, any agents against any bodily injury, property damage or professional liability claims.
o I understand that The Nantucket Club is not responsible for any lost or stolen valuables or property from within the facility.
o While at the facility, I agree to conduct myself in a responsible manner and will refrain from engaging in inappropriate conduct, including the use of loud, foul, slanderous language or any intimidating or offensive conduct that would interfere with the peaceful use and enjoyment of the facility by other users.
o By signing below, I acknowledge that I have received and read a copy of the Membership Terms and Conditions governing the use of the facility. I agree that I will fully comply with all rules and regulations and with any amendments. I have read the Agreement and understand that by signing the Agreement I have consented to be bound by its terms, including the waiver/release of any legal right I may have to sue The Nantucket Club for any costs it incurs because a claim or legal action is brought in violation of this Agreement. I agree any violation of the Agreement and its terms and conditions, as determined by The Nantucket Club, will void and terminate this Agreement and may result in loss of the ability to use the facility.
Please select a type of membership by initialing one of the following options
below:
1) Individual Year-Round Gym & Class Membership
$4,198 ________
Year-round resident fee
$3,200 ________
2) Individual Extended Winter Membership
$1,450 ________
Classes only
$1,150 ________
3) Individual Winter Fitness Membership
$1,100 ________
Classes only
$900 ________
4) Individual Winter Fitness Mid-Day Special
$695 ________
Extended program
$795 ________
Business Program ($595 pp)
$2,380 ________
5)
Individual Professional Courtesy Membership
(School employees, hospital employees, police & fire departments, EMT, Coast Guard –
Please circle where you work.)
Winter Extended
$1,295 ________
Winter
$995 ________
Agreed and Accepted: __________________________________________________ _______________
Signature
Date
Payment: Please make payment by check.
For all other charges on site, please complete the attached Credit Card Authorization
Form. (e.g., Breeze, Gift Shop, massages, etc.)
Credit Card Authorization Form for Membership
Payment and On-Site Charges – 2015-2016
I agree that my personal or corporate credit card will be charged in the amount of
$ _____
within seven (7) business days of submitting The Nantucket Club
Membership Application with an additional 3% processing fee. We advise the Patron
to contact his/her credit card company in advance to make them aware that The
Nantucket Hotel & Resort, if necessary, may be charging this credit card.
This credit card may also be used by The Nantucket Hotel & Resort and The Nantucket
Club for other charges such as Breeze Bar & Café, Massages, Gift Shop purchases, etc.
Name (as it appears on the card): ________________________________________________
Card Type (Visa, MC, Discover, AMEX): ________________________________
Card Number: ______________________________________________________
Expiration Date: _______________________________
Card Verification Value Code (CVV)* _____________________
Billing Address: ____________________________________________________________________
Phone Number (associated with credit card): ______________________________________
I am the cardholder or the Corporate Officer, and by signing below, I understand and
agree to the terms set forth in this Agreement. I agree to pay the balance due by
check and /or specifically authorize The Nantucket Hotel & Resort & Club to charge my
credit card for any unpaid amount still outstanding. The Nantucket Hotel & Resort will
provide me with a copy of an invoice upon request. I further agree that in the event my
credit card becomes invalid, I will provide The Nantucket Hotel & Resort & Club with a
new, valid credit card.
Card Holder’s Signature: ___________________________________________________________
Date: ___________________
CVV on Visa, MasterCard, and Discover are the three numbers that are printed on the back of the card on top of the signature panel. On American Express, it is the four numbers that are printed on the front of the card above the account number.
