Hfac Waiver Form - Los Angeles Mission College
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1
2Los Angeles Mission College
_________________________________________________________________________________________________________________________
LAMC HFAC
Member Information and Waiver
Employee/Student/Community ID # ________________ Date of Birth: ___________ Date: ______________
Class(es): _____________ Instructor(s) _____________________ Section Number(s) ______________
Circle: Non P.E. Student Wellness / P.E. Student Wellness / Faculty & Staff / Eagles Fitness
First Name ________________________ Middle Initial _____ Last Name _____________________________
Sex (circle) Male/Female
Email: ____________________________________________________________
Address_________________________________________ City ______________________ Zip ___________
Home Phone _________________________________ Work Phone _________________________________
Person to Contact in Case of Emergency:
Name: _____________________________________________ Relationship __________________________
Contact’s Home Phone _________________________ Contact’s Work Phone _________________________
If any of this information changes, please inform one of our staff members.
Los Angeles Mission College (“LAMC or also referred to herein as College”) Fitness Center Guidelines: Member agrees to adhere to
A.
the following guidelines of the LAMC Fitness Center. Failure to adhere to such guidelines may result in the cancellation of membership:
Attend, before participation, a student, staff or athletic orientation meeting.
A valid Los Angeles Mission College ID is required to gain entrance at all times.
You must bring a towel.
Proper gym attire is required at all times.
-Wear proper training attire, particularly athletic shoes and shirts.
-No open toed shoes or shoes without a back.
-Workout shorts or pants only.
-No cutoffs, jeans, cargo shorts or pants
No cell phone usage allowed during class times.
No unsupervised use of Fitness Center allowed.
There is a maximum of 30 minutes on any aerobic equipment when others are waiting.
Use clamps on the ends of the all bars.
Office telephones and computers are off limits to students.
Please report any facility-related injury or equipment irregularity to the staff on duty.
The College and its staff are not responsible for lost/stolen items.
No guest or children allowed in the facility.
Only staff is allowed to operate A/V equipment.
Please use sanitation stations to clean machines and equipment after each use.
Replace weights and equipment to their proper places.
Do not wear weight belts when in contact with equipment upholstery.
Do not drop weight plates or dumbbells.
Do not engage in horseplay or loud offensive language.
No food, beverages, or tobacco use permitted in the fitness center. Water bottles are acceptable.
Show respect for the equipment and facilities at all times; theft, defacing or spitting in the facility is not tolerated and will result in immediate
expulsion.
The staff has the authority over all fitness center conduct and the equipment use. Neglecting these rules may result in removal from the
premises.
B.
LAMC Gymnasium & Studio Room Guidelines
Proper gym attire is required at all times.
-Wear proper training attire, particularly athletic shoes and shirts.
-No open toed shoes or shoes without a back.
-Workout shorts or pants only.
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