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Fitness Room Contract 2016/17
Grade 9 to 12 students are permitted to use the fitness room during certain supervised hours. Agreeing to the below rules and disclaimer indicates that you have read and understood the contract. Once you submit this form, your name will appear on the list posted by the Fitness Room doors granting you access to the facility.

Should you break any of the rules, we reserve the right to remove your Fitness Room privledge.

Sincerely,
Mick Cooper
ICS Activities and Athletics Director

First Name
Your answer
Last name
Your answer
Preferred Name
What name do your friends use to address you?
Your answer
Grade
In which school grade are you registered for the 2016/17 school year?
Facility Hours
Personal Workout – Monday, Tuesday, Thursday, Friday 3:30pm to 5:15pm - Saturday 8:30am to 12:00pm
Required
Facility Rules
1.Change into proper workout attire, 2. Adhere to acceptable and safe workout practices and etiquette, 3. No food or soft drinks, 4. Rack weights when done, 5. Use personal towels to wipe down equipment when done 6. Keep my music to myself
Required
Disclaimer
1. I understand there are risks and dangers inherent in using fitness facilities. Use of the facility is always at your own personal risk'. 2. I am physically sound and suffering from no known condition, impairment or other illness that would prevent me from using fitness equipment. 3. I understand and agree that |l will ask for guidance if I am unsure as to how to use or operate any piece of equipment in the fitness facility. 4. ICS is not responsible for any injury that may occur to individuals participating in any exercise activity on school campus. Participation is on a voluntary basis. 5. Students are required to behave according to the rules and regulations in the Student Handbook.
Required
Signature
The below box acts as your legal signature
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