The Daily Fitness Membership Form

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ONCE FORM IS COMPLETED, USE THE LINK TO PURCHASE PASS. PROOF OF RECIEPT IS REQUIRED TO GAIN ACCESS TO THIS AMENITY.

DAILY LOWA MEMBER PASS $7.00/ PER PERSON
LOWA MEMBER SEVEN DAY PASS $40.00/ PER PERSON

DAILY GUEST PASS $12.00
DAILY GUEST SEVEN DAY PASS $75.00/ PER PERSON
GUEST MUST BE ACCOMPAINIED BY A LOWA MEMBER

Member Name *

Section *

Lot *

Guest Name(s) List All Guest Names *

5. Proximity Card Return Agreement:
The Proximity Card will have to be returned at the end of paid use, penalty for not returning the court key within 24 hrs after use or loss of key will result in a $8.00 charge. This amount will be automatically added to the Member account. Proximity Card Return located at Fitness Center.
*

Check to acknowledge the Proximity Card agreement and fee.

6.LAKE OF THE WOODS ASSOCIATION, INC. (LOWA)
FITNESS CENTER WAIVER

I agree that I and my family members are healthy and able to use the exercise equipment on their own.

I agree that all of my families are to be in good health and have received permission from my own family’s physician(s) before beginning an exercise regimen. I understand that I can receive instruction on
how to use the equipment at a class held for my benefit by a contractor with Lake of the Woods Association.

I hold Lake of the Woods Association, Germanna Community College, and any others associated with the
LOWA Fitness Center harmless in the event of an accident or injury.
*

Check to Acknowledge the rules above.

7.LAKE OF THE WOODS ASSOCIATION, INC. (LOWA)
FITNESS CENTER WAIVER
In the event of a medical emergency, staff from Lake of the Woods Association, Security force, or
Orange County Fire and Rescue stations is authorized to obtain treatment by qualified personnel and if
circumstances warrant, allow transportation of the person to a hospital.

It is understood that this authorization covers only those situations that are true emergencies
and only when the Member or Emergency Contact Person cannot be reached. It is further understood that the person whose signature appears below will be responsible for payment of medical care costs.

It is also understood that a photocopy of this authorization will be as valid as the original.
As per LOWA Regulations, there is no smoking in the Fitness Center, and adjoining rooms.

With my signature, I/ my family agree that my family will abide by the aforementioned age restriction, and all of the LOWA Fitness Center Rules and Regulations, knowing that violations will result in a penalty, and/or revocation of the use of the Fitness Center for me and my family.

With my ESignature below, I agree to follow LOWA rules and regulations regarding usage of the courts.

I understand that I am responsible for the behaviour of my family and guests at the courts.
*Guests must be accompanied by the Member or the Member’s family.

Member - ESignature: (Enter your full name(s) to acknowledge the waiver.)

8.Guest- ESignature:

Enter your full name to acknowledge the waiver.

9. Proof of Receipt Acknowledgement

Receipt will be presented upon completion of payment for daily use pass for LOWA Fitness Center.

I will purchase a Daily Guest Pass with a credit/debit card

Submit

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