This form must be completed by all Centennial Fitness Center group fitness participants.

Note: Passes cannot be shared among participants. Prices are subject to change.

Please select which pass you would like to purchase:

All Group Fitness participants are required to have a credit card on file. In the event you participate in a group fitness class without a valid class pass, you agree that your card on file will be charged for a single class pass to pay for the class attended.

I understand that punch-card passes are for the agreed upon intended use and cannot be transferred to another individual, used by another individual, or shared by multiple individuals. Punch-card passes will remain valid until the pass expiration date. I agree to abide by all policies and guidelines of the Park Ridge Park District Centennial Fitness Center and I acknowledge that the policies and procedures are subject to change without notice. I understand that other costs associated with the facility are subject to change without prior notice. I understand that my passes may be terminated by the Park Ridge Park District Centennial Fitness Center if I am in violation of policies or rules or conduct myself in a manner deemed inappropriate by management. I understand that I am bound by the terms of this agreement unless cancelled in writing within seven days after acceptance, or otherwise provided by law.

I agree to use all equipment and property of the Park Ridge Park District Centennial Fitness Center for its intended use. I understand that if Park District property and/or equipment is damaged due to a direct result of my use that I am responsible for all costs incurred by the Park Ridge Park District to fix or replace the damaged property/equipment. I agree that the Park Ridge Park District and the Centennial Fitness Center are not responsible for stolen, damaged, or lost personal property.

I understand that the Centennial Fitness Center may close due to maintenance or severe or hazardous weather conditions for up to two weeks in a calendar year. I understand that this is built into my membership cost and my membership will not be extended, prorated, or refunded due to facility closures.

I acknowledge that before I signed this agreement, I had the reasonable opportunity to examine it and agree to abide by the Park Ridge Park District Centennial Fitness Center's policies and procedures. I understand that the Centennial Fitness Center is not obligated to give me a copy of the Centennial Fitness Center Handbook and that I may receive a complete copy upon request. I am aware that I may access the Centennial Fitness Center handbook at any time by visiting the Park Ridge Park District website at www.prparks.org. I agree to all information set forth in the Centennial Fitness Center Handbook and understand that it may be updated at any time as deemed appropriate by management. I acknowledge that I have been given, agree to and understand a waiver and release, and that this agreement is not valid unless accompanied by a signed waiver and release.

I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity and to patrons of aquatic facilities, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of participating in any and all activities and programs connected with or associated with this Pass. I agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program/activity against the Park Ridge Park District, including its officials, agents, volunteers and employees. I further recognize and agree that lifeguards and other aquatic staff are not responsible for supervising my activities or the activities of my minor child(ren) and I agree that I am solely responsible for supervising my minor children and/or assessing whether my children are physically fit and/or adequately skilled for aquatic activities. I additionally agree to supervise any children ages 10 and under at all times. I further agree to waive and relinquish all claims I, or my minor child/ward may have (or accrue to me or my child/ward) as a result of use of the Park District's aquatic facilities and programs against the Park District, including its officials, agents, volunteers and employees (hereinafter collectively referred as "District"). I do hereby fully release and forever discharge the District from any and all claims for injuries, damages or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with use of the Park Ridge Park District's aquatic facilities and programs.

In order to maintain a safe and fun environment for all members and guests or the Park Ridge Centennial Fitness Center, patrons are expected to show respect for one another, staff members, the facility, and equipment; refrain from using foul language; and refrain from causing bodily harm to any participant or staff. Each individual is responsible for following facility rules, treating other fairly, and sharing equipment.

Authorization: I have read and fully understand the above waiver and release of all claims. I further agree to behave in a manner conducive with the civil behavior set forth by the Code of Conduct.