Digital Guest Pass Request Form ***MUST BE 18 YEARS OF AGE TO CLAIM***

Please fill out the form below to claim your Guest Pass. Guest Passes have a limit of one per person and are subject to club review before being issued.

Passes May Take 24 Hours to be Sent to Your Email

Guest Pass Request

Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date of Birth (must be 18 years or older)*
MM
DD
YYYY

***MUST BE 18 YEARS OR OLDER***
Consent*
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY CHECKING THIS BOX, AND I DO SO FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT
In consideration of being allowed to participate in any programs, related events and activities, I acknowledge, appreciate and agree that:

1. The risk of injuries from the activities in these programs is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist.

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume for my participation.

3. I willingly agree to comply with the stated and customary terms and conditions for participants. If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE WORK OUT WEST HEALTH AND RECREATION CaMPUS AND CLUB WEST INC., their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event(RELEASES), WITH RESPECT TO ANY AND ALL INJURY; DISABILITY, DEATH, or loss of damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OE OTHERWISE, to the fullest extent permitted by law.

Fitness Center: 970-330-9691

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Digital Guest Pass Request Form MUST BE 18 YEARS OF AGE TO CLAIM

Guest Pass Request

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