7-Day Trial Membership Participant Waiver, Duke Rec & PE

Recreation Facilities 7-Day Trial Participant Waiver and Release

PLEASE READ THIS AGREEMENT CAREFULLY

IT IS A LEGAL CONTRACT AND AFFECTS ANY RIGHTS YOU MAY HAVE IF YOU ARE INJURED OR OTHERWISE SUFFER DAMAGES WHILE PARTICIPATING IN THIS ACTIVITY.

This 7-Day Trial Membership allows the participant to access all Recreation & Physical Education facilities and services during the agreed seven (7) calendar days. This trial is intended for full-time Duke Faculty and Staff to test our facilities and services, and the trial may only be requested and redeemed once every two (2) years.

Please allow up to two (2) business days to process your request. Your 7-Day Trial Membership start date will be sent to you via a confirmation email.

I and/or my dependent(s) desire to access and use this Duke University Exercise Facility as a guest and voluntarily participate in the exercise activities and programs available at these facilities. I understand that although Duke University Exercise Facilities, equipment, services and programs are designed to provide a safe level of beneficial exercise and enjoyment, there is an inherent risk that use of such facilities, equipment, services and programs may result in injury to me and/or my dependent(s). I consider myself and/or my dependent(s) adequately trained and knowledgeable to participate in the exercise activities and programs offered, and therefore, I hereby agree that my dependent(s) and I specifically assume all risks attendant with participating in any and all of these activities and programs while using any Duke University’s Exercise Facilities, equipment, services or programs.

RELEASE, ASSUMPTION OF RISK, WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

In return for Duke University allowing me to participate in these activities and having read and understood this Guest Waiver and Release, I hereby state that I voluntarily agree to the following:

I and/or my dependent(s) hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Duke University, its trustees, officers, employees or agents (hereinafter referred to as RELEASES) for any liability, claim, and/or cause of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by me and/or my dependent(s), or to any property belonging to me and/or my dependent(s) that occurs as a result of my use of these facilities or participation in these activities and programs.

I and/or my dependent(s) agree to INDEMNIFY AND HOLD HARMLESS the RELEASEES whether injury

or damages is caused by my and/or my dependent(s) negligence, the negligence of the RELEASEES or the negligence of any third party from any loss, liability, damage or costs, including court costs and attorneys’ fees, that RELEASEES may incur due to my and/or my dependent(s) participation in these activities.

It is my express intent that his RELEASE and HOLD HARMLESS AGREEMENT shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, and COVENANT NOT TO SUE the above-named RELEASEES.

I and/or my dependent(s) hereby further agree that this Release, Assumption of Risk, Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the state of North Carolina.

I Agree

IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT that I have read the foregoing PARTICIPATION AGREEMENT, understand it, and sign it voluntarily.

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July 26, 2024

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Adult Minor(s)
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First Faculty/Staff's Name

First Name*

Middle Name

Last Name*

First Faculty/Staff's Age Acknowledgment*

First Faculty/Staff's Date of Birth*

I certify that I am 18 years of age or older

First Faculty/Staff's Information

Enter the date you wish to start your 7-Day Trial Membership? Please allow up to two (2) business days to process your request. We will try our best to accommodate, but your 7-Day Trial Membership start date will be sent to you via a confirmation email.

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

First Faculty/Staff's Signature*

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Second Faculty/Staff's Name

First Name*

Middle Name

Last Name*

Second Faculty/Staff's Date of Birth*

Second Faculty/Staff's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Second Faculty/Staff's Signature*

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Third Faculty/Staff's Name

First Name*

Middle Name

Last Name*

Third Faculty/Staff's Date of Birth*

Third Faculty/Staff's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Third Faculty/Staff's Signature*

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Fourth Faculty/Staff's Name

First Name*

Middle Name

Last Name*

Fourth Faculty/Staff's Date of Birth*

Fourth Faculty/Staff's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Fourth Faculty/Staff's Signature*

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Fifth Faculty/Staff's Name

First Name*

Middle Name

Last Name*

Fifth Faculty/Staff's Date of Birth*

Fifth Faculty/Staff's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Fifth Faculty/Staff's Signature*

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Sixth Faculty/Staff's Name

First Name*

Middle Name

Last Name*

Sixth Faculty/Staff's Date of Birth*

Sixth Faculty/Staff's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Sixth Faculty/Staff's Signature*

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Seventh Faculty/Staff's Name

First Name*

Middle Name

Last Name*

Seventh Faculty/Staff's Date of Birth*

Seventh Faculty/Staff's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Seventh Faculty/Staff's Signature*

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Eighth Faculty/Staff's Name

First Name*

Middle Name

Last Name*

Eighth Faculty/Staff's Date of Birth*

Eighth Faculty/Staff's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Eighth Faculty/Staff's Signature*

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Ninth Faculty/Staff's Name

First Name*

Middle Name

Last Name*

Ninth Faculty/Staff's Date of Birth*

Ninth Faculty/Staff's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Ninth Faculty/Staff's Signature*

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Tenth Faculty/Staff's Name

First Name*

Middle Name

Last Name*

Tenth Faculty/Staff's Date of Birth*

Tenth Faculty/Staff's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Tenth Faculty/Staff's Signature*

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Parent or Guardian's Email Address

Email*

Confirm Email*

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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Parent or Guardian's Age Acknowledgment*

Parent or Guardian's Date of Birth*

I certify that I am 18 years of age or older

Parent or Guardian's Information

Requested date to start your 7-Day Trial Membership? *

Enter your Duke UniqueID (all numbers) *

Enter your Duke NetID (letters and numbers) *

Parent or Guardian's Signature*

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Electronic Signature Consent*

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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