One Week Free Trial

Full Name *

First

Last

Email Address *

Phone Number *

Birth Date (MM/DD/YYYY) *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Current Workout Facility (if applicable)

How Did You Hear About Us?

Select Start Date

As a user of the Fitness Center, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume full risk of any injuries, damages, or losses which I may sustain as a result of participating in the Fitness Center as against the Park District, its officers, agents, servants, and employees. I do hereby fully release and discharge the Park District, its officers, agents, servants, and employees for any and all claims for injuries, damages, or losses I may have or may accrue to me as a result of my participation in the Fitness Center. I further agree to indemnify, hold harmless and defend the Park District and its officers, agents, servants and employees for any and all claims resulting from injuries, damages and losses sustained and arising out of, connected with, or in any way associated with the activities of the Fitness Center. I have read and fully understand this Release and Hold Harmless Agreement. *

Guest Signature

Health and Fitness Center

Fitness Center Hours

Day	Time
Monday-Thursday	5 am – 11 pm
Friday	5 am – 9 pm
Saturday	6 am – 8 pm
Sunday	6 am – 8 pm