1039 SOUTH BIG BEND BLVD. | RICHMOND HEIGHTS, MO 63117 | 314-974-2693
For Office Use

I hereby agree to pay the below stated contract amount. Under the monthly training plan, the contract fees will renew every thirty (30) days from the start date of this program until canceled. I understand that I am purchasing sessions at a predetermined price. If there are extenuating circumstances that causes you to miss numerous sessions, please contact Lionheart at (314) 974-2693 to discuss a remedy. Clients using credit or debit card will be automatically deducted from a credit/debit account on or about their contract renewal date. Those choosing to pay with cash or check will be responsible for bringing their payment by their contact date. Failure to pay by contract date may result in a cancellation of services and/or late payment fees. The client is responsible for all late and collection fees. The intent to end services with Lionheart must be made at least five (5) days prior to rollover contract date.

  • For Office Use Only: