Jordan Community Education and Recreation Center 500 Sunset Dr. Suite 3, Jordan, MN 55352, (952) 492-6211 JORDAN COMMUNITY ED & REC CENTER MEMBER CONTRACT 2018 Full Name (primary member) Date of Birth Address City State Zip Email Home phone number Cell phone number Emergency Contact Name Emergency phone number Additional Family Members on Account (do not list primary member on this list) 1. Name DOB 2. Name DOB 3. Name DOB 4. Name DOB Parents of any minor children (under the age of 18) must sign as legal guardian on behalf of each child on all forms, terms and agreements including but not limited to waiver and release of liability, CERC facility usage agreement and member agreement when applicable. Membership Type (check all that apply) Family Options (Up to 2 adults AND children 18 years and younger. All family members must live in the same household. Unlimited number of children ages 18 and under. Annual Resident Family: $375 per year + $30 one time initiation fee Monthly Resident Family: $40 per month + $30 one time initiation fee Annual Non-Resident Family: $475 per year + $30 one time initiation fee Monthly Non-Resident Family: $55 per month + $30 one time initiation fee Single Adult options (18 years or older, non-student, no children on membership) Annual Resident Adult: $265 per year + $30 one time initiation fee Monthly Resident Adult: $25 per month + $30 one time initiation fee Annual Non-Resident Adult: $350 per year + $30 one time initiation fee Monthly Non-Resident Adult: $35 per month + $30 one time initiation fee Student Options (13-23 years old and a student in middle school, high school or post secondary education. Must show valid student identification card if 18-23 years old.) Annual Resident Student: $95 per year + $30 one time initiation fee Monthly Resident Student: $15 per month + $30 one time initiation fee Annual Non-Resident Student: $145 per year + $30 one time initiation fee Monthly Non-Resident Student: $25 per month + $30 one time initiation fee 1 of 6
Senior Options (60+ years of age) Annual Resident Senior: $95 per year + $30 one time initiation fee Monthly Resident Senior: $15 per month + $30 one time initiation fee Annual Non-Resident Senior: $125 per year + $30 one time initiation fee Monthly Non-Resident Senior: $25 per month + $30 one time initiation fee Silver Sneakers (65+ years of age) Annual Membership: $0 + $0 one time initiation fee Silver Sneaker Member ID - - - Walking track only (Year long membership) Annual Resident: $50 per year/per individual Annual Non-Resident: $60 per year/per individual Senior Citizens (60+): Free LEGACY MEMBERSHIP (CHECK ONLY IF APPLIES): I am a current Legacy Member of the CERC and choose to do the following with my general membership: I choose to exercise monthly payments based on the current annual rate. I choose to pay the annual rate in full at time of renewal. I m becoming a new Legacy Member of the CERC (more information needed on page 6) * Resident is defined as residing in the Jordan School District boundaries. Member Terms and Agreement Do not sign until you have read its entirety 1. Monthly Membership Payment/Cancellation All monthly memberships will be set up on an auto renewal. To cancel, member must complete a MEMBERSHIP CANCELLATION FORM and submit to Community Ed & Rec, along with security fob(s), 5 days prior to the expiration date. 2. Annual Membership Cancellation Qualifying Events/Change in Status Failure to use the facility will not relieve you of the obligation to pay any balance due on your membership fees and/or forfeit the balance of time remaining on the terms for the membership agreement unless member can identify one of the following qualifying events have occurred: death, moved out of Jordan, change in familial status, employment change, or change in insurance benefits. In this case, member must complete a MEMBERSHIP CANCELLATION FORM and submit to Community Ed & Rec, along with security fob(s). All annual memberships will be set up on an auto renewal. To cancel, member must complete a MEMBERSHIP CANCELLATION FORM and submit to Community Ed & Rec, along with security fob(s), 5 days prior to the expiration date. 3. Facility Usage 2 of 6
Proper conduct. We strive to provide safe, fun, family-oriented environment. We expect proper, respectful conduct on the premise at all times. We do not permit disrespectful conduct toward members, guests, or employees. Misuse of equipment or facilities is not tolerated and may result in suspension of privileges. Entrance. All members and guests are to check in at the front desk. Access to the fitness center requires a membership card to be swiped upon entry. If you lose your membership card, you will have to pay a fee to replace it. Food and drink. Food and drink are allowed in the lobby area, meeting rooms, and field house. Only water in a closed, re-sealable container is acceptable in the fitness center. Proper attire. Proper workout attire is required. A shirt or tank top is mandatory. Clean, non-scuffing, closed toe athletic shoes must be worn. Barefoot is not allowed and street shoes are unacceptable. Equipment. Be respectful of the equipment and other patrons. Please wipe down exercise equipment with disinfectant spray after use. Report any broken, damaged, or unsafe equipment to CERC staff immediately. Personal belongings. Please store all workout bags, coats, and personal belongings in a locker or cubby. Jordan Community Education and ISD 717 is not responsible for lost or stolen items. Members and guests should store valuables in a locker. There are lockers available for daily use. Locks are not provided. Electronics. Keep personal audio devices at a respectable volume level and limit cell phone use while working out. Tobacco, alcohol, drugs. Use of any tobacco or electronic cigarette products on ISD 717 grounds, including any outdoor areas (sidewalk or parking lots) is prohibited. You may not consume alcohol on any school grounds. You may not use equipment, services, or programs while under the influence of alcohol or illegal drugs. Center closure of Access Restriction. We reserve the right to close or restrict access, without advance notice, to any area or the entire center for any reason including, but not limited to construction, remodeling, repair, or health and safety reasons including, but not limited to weather, natural disasters, power outages, and medical issues. Your obligation to pay membership dues is not dependent upon usage, availability, or access to the center. Personal training. Members may not solicit or conduct any personal training on the premises, with or without compensation. CERC retains sole discretion to determine whether a member or guest is engaged in personal training. Solicitation. No loitering or soliciting of any kind or purpose. All advertising requests must be approved by Community Ed & Rec Director. Weapons. You may not bring or use weapons of any kind on the premises. 4. Fitness Center The fitness center is available to adults and youth age 12 years and older. No one under 12 is allowed in the fitness center. Youth members ages 12-13 must be accompanied by a parent, legal guardian or authorized supervisor. 14+ year olds are allowed in the fitness center without any parental supervision as long as they are abiding by all rules. 5. Field House The field house is open to members and paid guests during CERC hours. YOUTH UNDER THE AGE OF 8 REQUIRE DIRECT SUPERVISION BY A PARENT, LEGAL GUARDIAN OR AUTHORIZED ADULT WHILE IN THE CERC. Youth over the age of 8 will be allowed to play independently as long as an adult is in the CERC; however, if they cannot manage their behavior and follow rules, those privileges will be revoked. Hanging on or grabbing basketball rims/nets and volleyball nets is prohibited at all times. All running, tagging, ball throwing is to be confined to the field house. The four-lane track may be used for both walking and jogging. Walkers are asked to please use the inside lanes and joggers use the outside lanes. Strollers with clean rubber wheels are allowed on the track. You may not organize your own informal or formal sports leagues, tournaments, or programs, including but not limited to basketball, tennis, and volleyball. THE MEMBER AGREES to abide by all facility policies and procedures and CERC rules. Because exercise can be strenuous and subject to risk of serious injury, ISD 717 urges you to consult a physician before beginning any exercise program. You, the member, agree that if you engage in any physical exercise or activity, or use any of the fitness center equipment in the facility, you do so entirely at your own risk. This includes without limitation, your use of the locker rooms, parking area, sidewalk area, or any equipment in the fitness center, and your participation in any activity, class, program, or instruction. You agree that you are voluntarily participating in activities and the use of the facility and assume all risks of injury, illness, damage or loss by theft of any personal property. You release and discharge ISD 717/Jordan Community Education and Recreation Center and all affiliates, employees, agents, representatives, successors, or assigns from any and all claims of action. The agreement, waiver, and release of liability include, without limitation, all injuries to you, which may occur, 3 of 6
regardless of negligence: as a result of (A.) your use of the exercise equipment, (B) the sudden and unforeseen malfunctioning of any equipment, (C) our instruction or supervision and (D) your slipping and or falling while in the facility, or on the ISD 717 premises. Should any part of this agreement be found unenforceable the remaining parts shall remain enforceable. Member also agrees no other representation is made than what is agreed herein writing. Failure to use facility will not relieve you of payments. You acknowledge that you have carefully read this agreement/waiver and fully understand that it is a release of liability. You agree to voluntarily give up any right that you may otherwise have to bring legal action against ISD 717 for negligence, or any other personal injury or property damage or loss action. Cancellation must be in writing. The member is entitled to a completed and signed copy of this agreement upon their request. By signing this agreement, member acknowledges that (A) the agreement is a contract that will become legally binding upon its acceptance by CERC, (B) the agreement constitutes the entire agreement between the parties hereto with respect to the subject matter hereof and supersedes any and all prior agreements, written or oral, with respect to subject matter, except in the case of a signed promotional offer where the terms and conditions of the promotional offer will be an amendment to this agreement, (C) CERC makes no representations or warranties to member, either expressed or implied except to the extent expressly set for in this agreement. Primary Member Signature: Date: Secondary Member Signature: Date: 4 of 6
Student Membership Only Legal guardian: Any member who is under the age of 18 must have a parent or legal guardian co-sign this agreement. Legal guardian shall be jointly and severally liable for any and all obligations of such member hereunder and shall be bound by all terms and conditions of this agreement. Name of legal guardian: Address Signature of legal guardian: Date: LEGACY MEMBERSHIP INFORMATION I,, would like to donate an additional $350 towards the Community Education & Recreation Center (CERC) Legacy Membership. With my Legacy Membership, I will receive: Exclusive monthly membership payments on annual fee (if requested, see page 1 of contract) Vouchers on CERC fitness classes during the first year of CERC membership ($100 value) Name on the donor wall, at the CERC entrance, as a Legacy Member I would like my name presented on the Donor Wall as: Signature Date Additional Family Members on Account (do not list primary member on this list) 5. Name DOB 6. Name DOB 7. Name DOB 8. Name DOB 9. Name DOB 10. Name DOB Parents of any minor children (under the age of 18) must sign as legal guardian on behalf of each child on all forms, terms and agreements including but not limited to waiver and release of liability, CERC facility usage agreement and member agreement when applicable. 5 of 6
THIS INFORMATION WILL BE SHREDDED AFTER ENTERED FOR YOUR PROTECTION. Authorization for electronic funds transfer (Attach voided check) (Circle one) CHECKING SAVINGS ROUTING NUMBER (9 DIGITS) ACCOUNT NUMBER NAME OF FINANCIAL INSTITUTION Authorization for credit card charges (Circle one) VISA MASTERCARD DISCOVER Name as it appears on card: CARD NUMBER EXP. DATE CSV Check this box if the card address is the same as the mailing address on membership contract. Credit card mailing address City State Zip 6 of 6