World Changers Fitness Center Application Form

Fitness Center Applicant Agreement Form
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Name*

First NameLast Name
Address*

Street Address

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Email*
example@example.com
Phone Number*
Date of Birth*

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In Case of Emergency Contact(s)
Name #1*

First NameLast Name
Phone Number*
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Name #2

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Relation

Guest Rules and Regulations

Please initial in the sections below that you have read and understand the Rules and Regulations
General
Guest agrees and represent that all exercise treatment and use of all gym facilities shall be taken at the member’s own risk, that he/she is in good physical condition and physically able to undertake any and all physical exercise and treatments provided by the club. Member agrees to assume all risk of injury and further agrees to indemnify and hold World Changers Ministries and its shareholders and employees jointly and individually harmless from any and all liability resulting from, but not limited to the actions and negligence of other members, the facility, its equipment, or third parties at the fitness center.*
Initial
If you have a history of heart disease, you must consult a physical before joining.*
Member agrees to pay extra charge for damage arising from careless use of equipment, or dropping of weights, etc. caused by member.*
The fitness center is not responsible for damaged, lost or stolen articles of clothing or any other personal property of any member or guest.*
Member agrees to be subject to the control and guidance of the fitness center staff while on the premises and will follow instructions of fitness center personnel. Member agrees to conduct himself or herself in a quiet, well-mannered fashion while on the premises and reserve all criticism of any kind about other club members, guest, or club personnel until in a private office with the club manager. Member agrees to obey all rules and conditions of membership. The exercise center reserves the right to revoke or terminate the membership if the member fails to keep and obey any such roles and conditions.*
Facility Sign-In
Show your membership card or employee badge in order to gain entrance.*
All guests upon entering the club are required to check in at the main counter before working out.*
Any lost or stolen cards will be replaced for a fee of $10.00.*
Members are not allowed behind the front desk.*
You must be 12 years of age to join.*
Facility Sign-Out
All members upon leaving the club are required to sign out at the main counter.*
All guests must return visitors pass to security prior to leaving.*
Dress Code
Dress must be fitness center appropriate.
Workout/Fitness attire only. (No street clothes)
Loose fitting shorts or a long t-shirt or sweatshirt must be worn with tights. The shirt/sweatshirt must be long enough to cover the hips and the rear.
Socks must be worn at all times.*
Appropriate exercise shoes must be worn at all times.*
Equipment Usage
No horse playing on the equipment*
Dropping of weights is not allowed*
Must clean/disinfect all equipment after use*
Return all weights to the proper location(s) after use*
Cardio Theatre Area
Do not touch the televisions. *
Food/Drink
No personal bags or food allowed on the floor. *
No open bottle drink containers permitted on the floor. Only Sports/Water bottles are permitted.
Beginning Work Out
The first time you work out it is suggested that you start at a beginning to intermediate level and work your way up to an advance level.*
Under no circumstances should you start at an advance level without first being evaluated by an instructor (i.e. Do not immediately try to lift weights in excess of what you normally would lift, do not put the treadmill or other equipment at a high incline until you have worked towards your goal).*

Disclaimer

FITNESS CENTER LIABILITY RELEASE WAIVER
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Fitness Center Applicant Agreement Form

In Case of Emergency Contact(s)

Guest Rules and Regulations

General

Facility Sign-In

Facility Sign-Out

Dress Code

Equipment Usage

Cardio Theatre Area

Food/Drink

Beginning Work Out

Disclaimer