Fitness Center Usage Agreement
Fitness Center Agreement
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Email *
Existing Card Renewal or New Request *
Required
First Name *
Last Name *
Student/Employee ID # *
Phone number *
Number will be used for notifications, emergencies or to communicate early closings of fitness center etc.
I am currently enrolled at WGTC or Faculty/Staff member. *
Required
Current Status *Select one *
Required
Which Campus do you attend? *
I knowingly and freely assume any and all risks and voluntarily participate in Fitness Activities. *
Required
I understand the issued fitness center card  is for my use only. I will not share or distribute my card to others. *
Required
If in violation of misconduct or misuse of the fitness center, I understand I will lose my privilege for the remaining academic year and may be subject to disciplinary action. *
Required
I understand that there are inherent risks and danger involved in these activities. *
Required
In exchange for the uses of equipment, materials, supplies, and for being allowed to use the fitness centers, I hereby release and forever discharge West Georgia Technical College, their employees and volunteers from any and all claims, demands, rights, expense, actions, injury, property damage, or the consequences thereof, whether foreseeable or not, resulting from or in any way connected with my participation in this activity. *
Required
Students Only: I understand the issued fitness center card is free for the first card. There will be a $20 replacement fee if lost or damaged. Faculty/staff please check N/A *
Required
I certify that I am 18 years of age. This consent is given freely and voluntarily by me without coercion, duress, threat, or promise of any kind. I certify that I understand and have read the above carefully before signing. *
Required
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