SAC Temporary Membership and Waiver

Please print and fill out and bring in with receipt of purchased membership

 

Name:____________________________________          Phone:_____________________         DOB:_________

 

Address:____________________________________________________________________________________

 

I understand and agree that neither Stillaguamish Athletic Club, LLC, (hereinafter SAC) nor any of it’s owners, officers, employees, or agents may be held liable. I hereby  personally assume all risks arising from any occurrences, acts, omissions, or condition in connection with the use of the facilities, equipment or services of SAC, that may result in injury, death, or other damages to me, my heirs, or assigns, whether said risks are foreseeable. I further save and hold harmless SAC, it’s owners, officers, employees, or agents from any claim by me, or my family, estate, heirs, or assigns. I have fully read and understand the contents, terms, and conditions of this waiver of liability. I am of lawful age, and legally competent, and sign this document on my own free will.

 

 ________________________________________              _________________________

Signature (Legal Guardian)                                                 Date

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Gym personnel only:

 

Valid dates: _____________________________________