ESYCC Fitness Room Application

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For our members: complete this form to gain access to the Eastern Shore Yacht and Country Club's Fitness Room. You will receive your code by text upon approval. If there are multiple people applying to use the room (e.g. family members or spouses under your account), please have each person sign and complete this form individually.

What is your full name?
*

What is your ESYCC Member Number? *

Waiver of Liability and Hold Harmless Agreement for Fitness Room Use

What is your address? *

What is the best phone number to text your code to? *

Check the boxes below to agree to the terms of our Liability Waiver. *

By checking this box, I am signing the Safety and Liability Waiver above.

By checking this box, I agree to receive a text from a third-party software to automatically receive my fitness room code.

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