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GUEST WAIVER

Daily Guest Fee: $15.00

GUEST WAIVER

Please read the following carefully and be aware that in signing up and participating in the Hoffman Estates Park District identified programs/activities, you will be expressly assuming the risk and liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with said programs/activities (including transportation services/vehicle operation, when provided).

I recognize and acknowledge that there are certain risks of physical injury to participants in these programs/activities, and I voluntarily agree to assume the full risk of any injuries, damages or loss regardless of severity, that I or my minor child/ward may sustain as a result of participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in these programs/activities against the Hoffman Estates Park District, including its officials, agents, volunteers and employees (hereinafter collectively referred as HE Parks). I do hereby fully release and forever discharge the HE Parks from any and all claims for injuries, damages or loss that my minor child/ward or I may have, or which may accrue to me or my minor child/ward and arising out of, connected with or in any way associated with these programs/activities. I agree to follow all Guest and/or Family Rules & Regulations, as well as Member Guidelines.

DATE: October 18, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*

Emergency Contact's Relation to Participant
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
HAVE YOU BEEN TO THE CLUB BEFORE*?*
Yes
No
ARE YOU UNDER 18 YEARS OF AGE*? (Guests under the age of 18 must present a parent or legal guardian signed waiver.)*
Yes
No
HOW DID YOU HEAR ABOUT US?*
INTERESTS: (Check all that apply.)
CARIO
GROUP FITNESS
PERSONAL TRAINING
SPA
SWIMMING
WEIGHT TRAINING
HEPARKS PROGRAMS
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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