**Please consult a physician prior to any form of physical activity**
Before I may participate in any exercise and/or fitness related event/activity
(“Activity”) within or sponsored by the LaHaye Recreation & Fitness Center (“LaHaye”), I
understand that I must read and promise to be bound by the following terms.
I hereby agree to abide by all LaHaye Recreation & Fitness Center policies and procedures
and The Liberty Way. I am aware that I have access to the policies and procedures upon
request. I agree to notify the LaHaye Recreation & Fitness Center staff of any potential
health changes or concerns. I understand that falsifying any information on this form will
result in a loss of membership privileges without refund. I understand that refunds
will not be issued for closure dates due to university closures, holidays, facility
maintenance, etc., which will occur throughout the year. I further understand that
membership fees will not be refunded in the event of employee resignation or
termination from the University.
LUO*/Grad students must be currently enrolled in classes and be financially check-
in throughout the duration of their membership. * Must currently be enrolled in B exit
term classes to be eligible.
Assumption of Risks.
I AM AWARE THAT ACTIVITIES AT LAHAYE, WHETHER OR NOT REQUIRING THE USE
OF EXERCISE EQUPMENT, CAN BE DANGEROUS. I AM AWARE THAT PLAYING OR
PARTICIPATING IN ANY ACTIVITY AT LAHAYE HAS CERTAIN INHERENT RISKS WHICH
MAY AFFECT ME, INCLUDING, BUT NOT LIMITED TO, PROPERTY DAMAGE OR LOSS,
TEMPORARY OR PERMANENT BODILY INJURY, SICKNESS, DISEASE, AND EVEN DEATH.
Specific risks that may be involved in this Activity include, but are not limited to:
unwanted contact with other players or participants and their equipment, equipment
failure, fast-moving equipment (including things like balls), contact with the playing
surface and surrounding elements, slipping, tripping, falling, and my individual
susceptibility to harm or injury (whether known or unknown to me). The results of these
and other inherent risks may include, but are not limited to: serious neck and spinal
injuries which may result in complete or partial paralysis and/or brain damage; serious
injury of the musculoskeletal system, serious injury or impairment to other aspects of my
body, general health, and well-