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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 Duke Faculty and Staff to test our facilities and services, and the trial may only be requested and redeemed once every three (3) 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.

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




First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Second Participant's Signature*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Third Participant's Signature*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Tenth Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and promotions by e-mail.
Please select how you found out about us! *
Rec & PE website
Social Media
Referral (word of mouth)
On-Campus Digital Signage
New Hire Orientation
Duke Newsletters
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

Enter your Duke UniqueID *

Enter your Duke NetID *

When do you wish to start your 7-Day Trial Membership? 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. *
Parent or Guardian's Signature*
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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