WRS Athletic Club

Guest Registration & Assumption of Risk


I desire to voluntarily engage in the various programs at WRS Athletic Club. I understand that it is my responsibility to seek physician approval concerning any preexisting health risks. I understand that there are some discomforts and risks associated with physical activity, such as muscle soreness, strains and sprains, and very rarely cardiovascular problems, including "heart attacks".


Print Name______________________________________________


Mailing Address'____________________________________________________


________________________________________________________________________


Phone: Home:____________________________________


Business__________________________________________


Employment:__________________________________


Driver License No.________________________________________


Guest of Member: (member name)_____________________________________


...................................................................

I have previously been a guest of the WRSAC.

________ Yes

________ No

I would like membership information.

_________ Yes

_________ No

........................................................................

Dress Code

As a guest, you are to be in compliance of the WRS Athletic Club - s dress code for use of the facility. This includes:

Proper athletic workout attire

No cutoff shirts

Tight-fitting bottoms must be covered with running shorts, trunks, or a shirt that reaches mid-thigh Leotards worn over tights must cover the buttocks

Date__________________________


Signature______________________________

(Participant)


Witness____________________________________

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