Schiff Fitness Center Membership Application
2021-22
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Date of Application *
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Full Name *
Current Status *
Semester *
Year *
Date of Birth *
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I acknowledge I am 18 yrs or older *
Current Address (please include city, state & zip) *
Home Address (please include city, state & zip) *
Cell Phone *
Home Phone
E Mail Address *
Membership Fees *
A mask is required while in the building at all times. Are you willing to wear a mask? *
Membership Agreement- in consideration of the benefits of the facilities and other activities of Hillel's fitness center, apply for membership to the Schiff Fitness Center located inside OSU Hillel and any other Hillel fitness activity. I acknowledge that I have received a copy of The Policies and Procedures of Hillel's fitness center and agree to have myself, any family members, and any guests abide by those policies and procedures and any other regulations that may be posted at the fitness center from time to time. I represent, warrant, and acknowledge that myself and family that are included as members are in good physical condition and are able to utilize the center's equipment and facilities and perform the exercises. I understand that all exercise and use of all facilities shall be undertaken by the member at the member's sole risk. In consideration for the membership grated hereby, the member for himself/herself and on behalf of his/her executors, release and discharge Hillel, its owners, officers, employees, agents, assigns, successors and Hillel building owners from any and all liability, claims, and causes of action, whether known or unknown, for personal injuries to the member resulting from or in anyway related to or connected with the use of the center, including but not limited to, use of all fitness facilities and exercise equipment. It is understood that Hillel shall not be responsible or liable to the members or their guests for any articles damaged, lost or stolen in or about the center, or in lockers, or for loss or damages to any property including, but not limited to, automobiles and contents thereof. *
I UNDERSTAND THAT NO STAFF PERSON MAY BE ON DUTY IN THE FITNESS AREA *
I agree that I will not use the Schiff Fitness Center until I have stopped in the Hillel at OSU business office and physically signed my membership agreement and provided a copy of my student id or other identification *
E Signature *
Emergency Contact *
Emergency Contact Number *
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