If paying in full or selecting EFT/CC payment for the first time, please stop by the Centennial Fitness Center front desk to complete your payment.

Membership Activation & Terms of Membership
I understand that annual memberships are for a minimum of 12 months and may be cancelled by providing written notice of my intent 30 days prior to the day I wish to have my membership cancelled in accordance with the Park Ridge Park District Centennial Fitness Center policies. I understand that non-annual memberships are for the agreed upon membership term and cannot be cancelled; non-annual memberships 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 the membership costs are subject to change with a 30-day notice and I agree to abide by these changes, even if it is during my obligatory period. I understand that other costs associated with the facility are subject to change without prior notice. I understand that my membership 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.

EFT
EFT pays annual membership dues on a continuous monthly basis by deducting directly from your checking or savings account. A voided check must be provided at time of registration. I understand that my EFT membership is for an initial 12-month period, after which the membership is continuous and requires no annual renewal. I understand my membership will automatically renew upon its expiration date and I am responsible for all accrued dues and other charges. I understand I am responsible for the entire amount due of this membership agreement. I understand it is my responsibility to keep updated account information on file with the Park Ridge Park District Centennial Fitness Center. Insufficient and past due payments will be assessed and will incur a fifteen dollar ($15.00) service charge.

Resignation
It is agreed that an annual member may resign from the Park Ridge Park District Centennial Fitness Center by giving thirty (30) days written notice of intent to cancel the membership. All resignations must complete a Cancellation Request and submit it to the Centennial Fitness Center. Cancellation requests are accepted via drop-off, fax, mail or email. All accrued dues and other charges for which the member may be liable to the date of resignation and all membership cards are due upon the effective date of resignation. I understand non-annual memberships are unable to be cancelled and are non-refundable. Non-annual memberships are valid until the agreed upon expiration date.

Temporary Membership Hold
Annual Memberships may be placed on a temporary hold. This policy cannot be offered retroactively and an official hold form must be completed and received by the Park Ridge Park District Centennial Fitness Center prior to the start date of the membership hold. Hold forms are accepted via drop-off, fax, mail or email. Memberships must be put on hold in its entirety and includes all members on the membership.

Equipment/Property Damage & Personal Property
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.

Facility Closures
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.

Membership Agreement
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.

IMPORTANT INFORMATION: The Park Ridge Park District is committed to conducting its recreation programs and activities in a safe manner, providing safe aquatic facilities and programs, and holds the safety of participants in high regard. The Park Ridge Park District continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participant's safety. However, participants and parents/guardians of minors registering for this program must recognize that there is an inherent risk of injury when choosing to participate in recreational activities/programs.

You are solely responsible for determining if you or your minor child/ward are physically fit and/or adequately skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, suffers from an underlining medical condition, takes medication, smokes cigarettes, has a family history of coronary disease, or has recently suffered an illness, injury or impairment, to consult a physician before undertaking any fitness center activity, or any physical/aquatic activity.

Please understand and recognize that lifeguards are not responsible for providing supervision or assessing your swimming skills or that of your minor child; rather, lifeguards are responsible for enforcing safety rules and responding to emergencies. Adult pool pass holders and parents of minor pool pass holders are solely responsible for supervision of any and all activities contemplated by this agreement. Additionally, children 8 years of age and younger must be supervised at all times by a responsible person, 16 years of age or older. NEVER LEAVE ANY CHILD WITH POOR SWIMMING SKILLS OR 10 YEARS OF AGE AND YOUNGER UNACCOMPANIED BY A PARENT OR RESPONSIBLE PERSON, 16 YEARS OF AGE OR OLDER

WARNING OF RISK: Aerobic and other fitness activities such as passive/resistive weight training, use of stair machines, jogging, free weights, and other training devices are intended to challenge and engage the physical, mental and emotional resources of the participant. Despite careful and proper preparation, instruction, medical advice, conditioning, and equipment, there is still a risk of serious injury. All hazards and dangers can not be foreseen. Depending on the particular activity, certain risks, dangers and injuries due to overexertion, improper technique, ignoring safety precautions, failing to follow instructions, slips and falls, unfamiliarity with the equipment and/or exercise, equipment failure, failure in supervision/instruction, premises defects and other risks inherent to the particular activity exist. In this regard, it is impossible for the Park Ridge Park District to guarantee absolute safety.

Dependent upon a person's physical condition, age and/or skill level, aerobics and fitness activities can involve a substantial risk of the following types of injuries. This list is by no means complete, but includes some of the more common ones:

1. Heart attack, stroke and circulatory problems
2. Bone and joint injuries
3. Back and neck injury
4. Shin splints
5. Muscle strain and other muscle injuries
6. Foot problems

Swimming and other aquatic activities challenge and engage the physical, mental and emotional resources of each participant. However, despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury, including but not limited to drowning, head/brain injury, and spinal cord injury. Understandably, not all hazards and dangers can be foreseen. The very nature of swimming and aquatic activities are hazardous and risky, including but not limited to fatigue and overexertion, poor swimming skills, failing to avoid dangerous areas, failing to follow rules and regulations, failure of lifeguards to locate victims and/or delay in emergency response time, horseplay, diving or cannon-balling into shallow water and striking the bottom or side of the pool or waterslide, inadequate supervision or instruction, lack of conditioning, becoming disoriented, striking other swimmers, striking one's head on the bottom, slip and falls on the deck or within the locker facility, chemical exposure and all other circumstances inherent to aquatic activities. In this regard, it must be recognized that it is impossible for the Park District to guarantee absolute safety.

WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK: Please read this form carefully and be aware that in signing up and participating in this program/activity, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program/activity (including transportation services and vehicle operations, when provided) and with the use of the Park District aquatic facilities and programs.

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.

I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all daims. If registering on-line or via fax, my on-line or facsimile signature shall substitute for and have the same legal effect as an original form signature.

PARTICIPATION WILL BE DENIED If the signature of adult participant or parent/legal guardian and date are not on this waiver.