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Clifton Sports and Fitness Club Pool Waiver / 199 Scoles Ave. Clifton, NJ

1.     Clifton Sport and Fitness, LLC (CSFC) is responsible for all water testing, and for all procedures needed to prevent the spread of recreational waterborne illnesses (RWI’s).  

2.     CSFC is responsible for the proper and safe functioning of the pool (including drains, jets, vacuum); as well as for the proper and safe maintenance of the surrounding deck areas, and for any required government inspections.

3.     CSFC is responsible for following any and all federal, state and local bathing laws and codes.

4.     Lifeguards are provided by and employed by CSFC.

5.     Lifeguards are in charge of the pool, and clients are expected to follow all of their safety instructions and directives. Failure to obey lifeguard’s instructions will result in the ending of the lesson, and a request to leave.

6.     LifeCycle Aquatics, LLC does not own or manage the pool, we rent pool time from Clifton Sports and Fitness Club.

7.     Patrons understand that other organizations may be conducting classes or programs during a lesson.

8.     Bathers must shower before entering the pool water to help avoid the spread of waterborne illness.

9.     Swimmers must wear proper bathing attire; Swimmers with hair must wear bathing caps.

10.   Any person showing evidence of skin disease, excessive sunburn, sore or inflamed eyes, cold, nasal or ear discharge may not enter the water. 

11.   No glass or breakable containers are allowed on the pool deck, in the pool, or locker areas.

12.   No food, gum, alcoholic drinks, tobacco or smoking of any kind are allowed in the facility.

13.   People suspected of being under the influence of alcohol or drugs are prohibited from being inside the facility.

14.   Use of profanity or sexually inappropriate conduct is prohibited.

15.   No dogs are animals except for service dogs will be allowed in the pool area or locker rooms.

16.   No running, wrestling or pushing or causing undue disturbance in or out of the pool will be allowed.

17.   Expectorating in the pool is prohibited.

18.   Swimmers should stay in the designated zone of the swim lesson. 

19.   Do not swim under lane lines, or pull or sit on lane lines.

20.   Guardians may watch lessons from the provided chairs on the pool deck.

21.   LifeCycle Aquatics LLC, and CSFC reserve the right to prohibit entry into the pool facility of any patron whose conduct adversely affects the safety and well-being of other patrons or interferes with the use of the facility by other patrons.

22.   Diving, defined as a head-first entry, is NOT allowed in shallow water.  Clients must follow all instructor and lifeguard instructions involving diving. Students and guardians understand that strict enforcement of Red Cross diving restrictions and progressive teaching protocols will be followed.

23.   Restroom and lockers are available for student(s) and guardian, and CSFC is responsible for bathroom/lockers.

24.   Lifecycle Aquatics, LLC and CSFC are not responsible for any lost, stolen or damaged personal property.

25.   It’s recommended that any accompanying guardian have a charged cell phone available at all times.

26.   Clients agree to not disturb any other swimmers while in the pool.

27.   Teaching equipment belongs to LifeCycle Aquatics, LLC.

28.   Instructor and lifeguards will have a first aid kit accessible during lessons.  Commonly stocked items include plastic adhesive bandages, gauze, waterproof adhesive tape, safety scissors, ice packs, rubber gloves and paper towels.

29.   The digital Waiver/Release form must be signed by client or guardian before first class, every twelve (12) months.

30.   Parent or Assigned Guardian, agrees to be on site and on deck, with a clear view of any student seventeen years or younger during all lessons at all times. Guardian is never to leave any minor student along with the instructor.

31.   Free parking is available in the rear of the building, near the entrance of the pool building.

32.   Regarding Covid-19; Client understands that LifeCycle Aquatics, LLC cannot know or control the vaccination status of lifeguards and any people inside the facility. See our waiver for additional Covid-19 waiver and release policies.

33.   Patrons understand that LifeCycle Aquatics cannot monitor or control other patron’s face mask wearing.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

Phone*
Parent or Guardian's Date of Birth*
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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