51社区

Membership Agreement

Basic Membership Agreement:

MEMBERSHIP TERMS & CONSENT

  • I have taken and understand the PAR-Q readiness for activity questionnaire.  I will follow its recommendations.
  • Memberships run from the day you join WellWorks through your membership term.
  • I do hereby agree to abide by the policies and procedures of WellWorks and acknowledge that they reserve the right to revoke any membership at any time. In this case, unused membership fees will be refunded.
  • I agree to have my photo taken for my membership account.
  • Memberships must be paid in full, or current in payment under direct debit.
  • Lack of participation does not eliminate the responsibility for payment.
  • ONE-MONTH, FOUR-MONTH and SIX-MONTH memberships are non-refundable; no extensions.
  • YEARLY memberships are not refundable unless a member leaves Athens County (documentation will be requested) or provides a medical note (documentation will be requested). If approved, the refund will be at the prorated amount (monthly membership rate) on the unused portion of your me membership at the time of notification.
  • YOUTH memberships - a Parent or Guardian must sign the waiver.
  • Other circumstances that require cancellation must be approved by the WellWorks Director, and will be subject to a $30 cancellation fee.
  • Memberships cannot be transferred from one person to another, not even from one family member to another.

 

WAIVER AND RELEASE
I desire to voluntarily participate in 51社区's WellWorks in person and virtual programs including personal training, group fitness classes, nutrition services, fitness assessment, instructional videos, handouts and workshops.  I understand that during my participation in WellWorks activities, certain dangers exist, including bodily injury, such as fainting, abnormal blood pressures, dizziness, and in very rare instances, heart attacks, and/or death.  More common injuries include soft tissue injuries--e.g. sore muscles, tendinitis.  There are also risks associated contracting or being exposed to transmittable viruses, germs, or other contagions such as influenza, common colds, COVID-19, etc. The specific risks vary from one activity to another.  Every effort will be made to minimize these conditions through pre-participation screening.  Should there be any reason to question my health or ability to safely participate in WellWorks, I assume full responsibility in obtaining the advice of my physician.  In consideration of my entry into this program, I forever discharge 51社区, its governing board, officers, agents, sponsors, and employees (including student employees) (鈥淩eleasees鈥) from any harm, injury, damage, claim, demand, action, cause of action, cost or expenses of any nature which I may have or which may hereafter accrue to me or a third party and by any property belonging to me, whether caused by the negligence or carelessness of the Releasees, or otherwise, while I or a third party are in, on, upon or in transit to or from any WellWorks program activities.  I expressly intend for this release to bind the members of my family, estate, heirs, administrators, personal representatives or assigns.  I attest that I have full knowledge of any and all risks involved in participating in the WellWorks program.  I further give permission for 51社区 to use data collected during the program.  I understand these data will only be reported in a de-identified and confidential manner.    

WAIVER 鈥 APPLICABLE TO OHIO UNIVERSITY EMPLOYEES ONLY:
Pursuant to ORC 4123.01(C)(3), 51社区, as your employer, must notify you that any injuries you sustain while voluntarily participating in these employer sponsored activities (WellWorks; 51社区鈥檚 Wellness and Health Promotion Program; and any and all activities or events sponsored by WellWorks) will not be considered an injury under Ohio Workers鈥 Compensation and you are hereby agreeing that you are a voluntary participant and waiving these benefits.

 

Membership Package Agreement:

MEMBERSHIP TERMS & CONSENT

  • I have taken and understand the PAR-Q readiness for activity questionnaire.  I will follow its recommendations.
  • Memberships run from the day you join WellWorks through your membership term.
  • I do hereby agree to abide by the policies and procedures of WellWorks and acknowledge that they reserve the right to revoke any membership at any time. In this case, unused membership fees will be refunded.
  • I agree to have my photo taken for my membership account.
  • Memberships must be paid in full, or current in payment under direct debit.
  • Lack of participation does not eliminate the responsibility for payment.
  • FOUR-MONTH memberships are non-refundable; no extensions.
  • YEARLY memberships are not refundable unless a member leaves Athens County (documentation will be requested) or provides a medical note (documentation will be requested). If approved, the refund will be at the prorated amount (monthly membership rate) on the unused portion of your me membership at the time of notification.  *Extensions can be applied with a medical exception.
  • Other circumstances that require cancellation must be approved by the WellWorks Director and will be subject to a $30 cancellation fee.
  • Memberships cannot be transferred from one person to another, not even from one family member to another.
  • SESSIONS WITHIN THE DIAMOND OR BOBCAT PACKAGE EXPIRE ON EYEAR AT DATE OF PURCHASE.  No refunds, extensions or transfers to another person.  Unused sessions are forfeited at time of expiration.  (*Documented medical leave exceptions may apply.)
  • SESSIONS WITHIN THE SEASONAL PACAKAGE EXPIRE IN FOUR MONTHS.  No refunds, extensions or transfers to another person.  Unused sessions are forfeited at time of expiration.

 

PARTICIPANT WAIVER AND RELEASE
I desire to voluntarily participate in 51社区's WellWorks in person and virtual programs including personal training, group fitness classes, nutrition services, fitness assessment, instructional videos, handouts and workshops.  I understand that during my participation in WellWorks activities, certain dangers exist, including bodily injury, such as fainting, abnormal blood pressures, dizziness, and in very rare instances, heart attacks, and/or death.  More common injuries include soft tissue injuries--e.g. sore muscles, tendinitis.  There are also risks associated contracting or being exposed to transmittable viruses, germs, or other contagions such as influenza, common colds, COVID-19, etc. The specific risks vary from one activity to another.  Every effort will be made to minimize these conditions through pre-participation screening.  Should there be any reason to question my health or ability to safely participate in WellWorks, I assume full responsibility in obtaining the advice of my physician.  In consideration of my entry into this program, I forever discharge 51社区, its governing board, officers, agents, sponsors, and employees (including student employees) (鈥淩eleasees鈥) from any harm, injury, damage, claim, demand, action, cause of action, cost or expenses of any nature which I may have or which may hereafter accrue to me or a third party and by any property belonging to me, whether caused by the negligence or carelessness of the Releasees, or otherwise, while I or a third party are in, on, upon or in transit to or from any WellWorks program activities.  I expressly intend for this release to bind the members of my family, estate, heirs, administrators, personal representatives or assigns.  I attest that I have full knowledge of any and all risks involved in participating in the WellWorks program.  I further give permission for 51社区 to use data collected during the program.  I understand these data will only be reported in a de-identified and confidential manner.    

WAIVER 鈥 APPLICABLE TO OHIO UNIVERSITY EMPLOYEES ONLY:
Pursuant to ORC 4123.01(C)(3), 51社区, as your employer, must notify you that any injuries you sustain while voluntarily participating in these employer sponsored activities (WellWorks; 51社区鈥檚 Wellness and Health Promotion Program; and any and all activities or events sponsored by WellWorks) will not be considered an injury under Ohio Workers鈥 Compensation and you are hereby agreeing that you are a voluntary participant and waiving these benefits.

 

PERSONAL TRAINING CLIENT AGREEMENT

The guidelines below are to ensure that the relationship between the Trainer and Client and the responsibilities of both parties are clearly appreciated and understood.

Trainer Responsibilities:

  • The personal trainer will hold an initial session and discuss your goals and general fitness background.
  • Each session will last 30 minutes or 60 minutes depending on the selected option.
  • The personal trainer will design a personalized program that meets the client鈥檚 needs and goals.
  • The personal trainer will create a safe and effective routine with your goals and ability level in mind
  • The personal trainer will provide guidance regarding proper exercise techniques.
  • The personal trainer will evaluate and modify the personalized program as necessary according to the client鈥檚 progress, needs, and goals.
  • If the personal trainer is late for a session, that time is owed to the client. The trainer will stay later if scheduling allows, if either the trainer or client are not able to extend a session the day of, the lost time will be added to a future session as agreed upon by the client and trainer.
  • The personal trainer must notify the client four hours prior to the session, if they must cancel: at which time the session will be rescheduled. No reimbursement will be necessary for a rescheduled session as sessions are only redeemed on the day of the session.
  • The personal trainer is an employee of the University and may not accept any direct or additional payment for his/her service.
  • All Information regarding the client鈥檚 medical history, fitness program and progress is confidential and will remain on file with WellWorks. Trainers may discuss experiences as a part of their experiential learning with their supervisor, but all parties will refrain from using and sharing protected personal information.

Client Responsibilities:

  • All payments must be received prior to the first meeting of an initial session or a training session. Payments should be made at the front desk of WellWorks and you must be a current member.
  • Client will not be allowed to pay the Trainer Directly for a session and they should not accept tips.
  • Client is expected to discuss all health history information and any medical concerns with the trainer.
  • All payments must be made prior to the Personal Training session takes place.
  • All sessions must begin on time and end on time 30 minutes and 60 minutes. Any time lost due to client tardiness is considered part of the appointment and non-refundable. The Trainer is expected to wait 15 minutes for a client at which time the session is forfeited.
  • Client must give at least a four hour notice for session cancellation. Failure to do so will result in forfeiture of one session.
  • Client will communicate any discomforts, pain or concerns experienced arising from a session.
  • Sessions must be used within 12 months of purchase, unless other arrangements have been made with our program coordinator or the Director of WellWorks. Email: WellWorks@ohio.edu
  • Client shall abide by the rules and policies of 51社区 and Grover Center Building
  • If client, for any reason, does not fulfill all of their sessions in the time allowed, no refund will be given and no transfer will be allowed.
  • Client acknowledges that he/she is in good health and physically able to participate in a personalized program. By signing below. Client acknowledges and agrees that he/she has no limiting health conditions that would preclude participation in an exercise program, and will immediately inform the trainer if such health conditions arises during the client鈥檚 participation in the personalized program.

If there is a problem with the Trainer, client should email Jacob Hittle at hittle@ohio.edu.

 

MASSAGE PARTICIPANT WAIVER AND RELEASE

This WellWorks Massage Waiver is required for individuals who are interested in receiving a massage performed by a licensed massage therapist from 51社区鈥檚 WellWorks Program. For most people, a therapeutic massage should not pose any problem or hazard.
Client hereby acknowledges that he/she desires to receive a therapeutic massage offered through 51社区 WellWorks program, and performed by a licensed massage therapist. Client understands that a massage involves the touching of their person by another person for therapeutic purposes. In consideration for 51社区 WellWorks performing the massage, Client hereby releases 51社区 and the WellWorks Program from liability for injury, physical or emotional, that may result from receiving said massage. Client agrees to participate in the provision of said massage at their own risk. In consideration of accepting the WellWorks Therapeutic massage, Client, on behalf of themself, as well as their heirs, executors, administrators assigns, and personal representative(s), waives and releases any and all of Client鈥檚 rights and claims for damages Client may have against 51社区, WellWorks, and their officers, agents, sponsors, and employees for any and all injuries suffered during the visit. This waiver will be kept on file and considered current for one year. 

 

REIKI PARTICIPANT WAVER AND RELEASE

The WellWorks Reiki Waiver is required for individuals receiving a Reiki Session performed by our Reiki Practitioner from 51社区鈥檚 WellWorks Program. The client understands that the service provided by the practitioner is intended to provide a space for deep relaxation and stress relief.

The client understands that a) gentle touch may be used during a session, b) that participation is always voluntary and you may choose to end your session at any time, c) you may experience 鈥榟ealing reactions鈥 during the 24 to 48 hours following the services provided, d) this service is not a substitute for medical treatment or medications, and it is important to have regular medical check-ups as part of the overall health care plan.

I understand that any information exchanged during any session is educational in nature and is to be used at my own discretion. I also understand that any information imparted during these sessions is strictly confidential in nature and will not be shared with anyone without my written permission. I do, however, give the practitioner consent to use my case history and results without using my name. I understand that only the practitioner will have access to information in my file to enhance my healing.

Client , on behalf of themselves, as well as their heirs. Executors, administrators assigns, and personal representative (s) waives and releases and all of Clients rights and claims for damages Client may have against 51社区, WellWorks, and their officers, agents, sponsors, and employees for any and all injuries suffered during the visit. This waiver will be kept on file and considered current or one year.

 

LOCKER RENTAL 
All rentals will end on the expiration date of your one-year membership. You will be notified via email one week from the expiration of your membership and locker, and again one day from expiration. If you do not renew your locker by the renewal date, your lock will be cut off, contents removed, and it will be available for rental by someone else. If you wish to continue membership but not a locker, contents need to be removed by expiration date.    *Contents will be held for 30 days and then sent to Good Will.

If you wish to discontinue your locker use before your membership expires, there are no refunds on locker service.

To assure the terms and conditions of the rental policy are understood and will be upheld, and for the purpose of record keeping, we ask that you please sign and date this form in the space provided.       
*If you continue to renew your locker, this contract is considered a valid extension until at which time you no longer rent a locker. 

 
TOWEL SERVICE 
All rentals will end on the expiration date of your one-year membership.  You will be notified via email one week from the expiration of your membership, and again one day from expiration

If you wish to discontinue your towel service before your membership expires, there are no refunds on towel service.

Towels are to be checked out and back in at the Front Desk by the member only.  If you do not check the towel back in after use, and the check-out still remains on your account, you will not be issued another towel until the previous one is returned to our Front Desk.

To assure the terms and conditions of the rental policy are understood and will be upheld, and for the purpose of record keeping, we ask that you please sign and date this form in the space provided.  Thank you. 
 
*If you continue to renew your towel service contract, this contract is considered a valid extension until at which time you no longer have an active towel service. 
 

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Membership Terms through December 2024: 

MEMBERSHIP TERMS & CONSENT 

  • I have taken and understand the PAR-Q readiness for activity questionnaire. I will follow its recommendations. 
  • Memberships run from the day you join WellWorks through your membership term. 
  • I do hereby agree to abide by the policies and procedures of WellWorks and acknowledge that they reserve the right to revoke any membership at any time. In this case, unused membership fees will be refunded. 
  • Memberships must be paid in full, or current  in payment  under direct debit. 
  • Lack of participation does not eliminate the responsibility for payment. 
  • ONE-MONTH, FOUR-MONTH and  SIX-MONTH memberships are non-refundable; no extensions. 
  • YEARLY memberships are not refundable unless a member leaves Athens County (documentation will be requested) or provides a medical note (documentation will be requested). If approved, the refund will be at the prorated amount (monthly membership rate) on the unused portion of your membership at the time of notification.
  • Other circumstances that require cancellation must be approved by the WellWorks Director, and will be subject to a $30 cancellation fee. 
  • Memberships cannot be transferred from one person to another, not even from one family member to another. 
  • I agree to have my photo taken for my membership account.

 

WAIVER AND RELEASE 

I desire to voluntarily participate in 51社区's WellWorks program (including personal training and group fitness classes). I understand that during my participation in WellWorks activities, certain dangers exist, including bodily injury, such as fainting, abnormal blood pressures, dizziness, and in very rare instances, heart attacks, and/or death. More common injuries include soft tissue injuries--e.g. sore muscles, tendinitis. Every effort will be made to minimize these conditions through pre-participation screening. Should there be any reason to question my health or ability to safely participate in WellWorks, I assume full responsibility in obtaining the advice of my physician. In consideration of my entry into this program, I forever discharge 51社区, its governing board, officers, agents, sponsors, and employees(including student employees)("Releasees")from any harm, injury, damage, claim, demand, action, cause of action, cost or expenses of any nature which I may have or which may hereafter accrue to me or a third party and by any property belonging to me, whether caused by the negligence or carelessness of the Releasees, or otherwise, while I or a third party are in, on, upon or in transit to or from any WellWorks program activities. I expressly intend for this release to bind the members of my family, estate, heirs, administrators, personal representatives or assigns. I attest that I have full knowledge of any and all risks involved in participating in the WellWorks program. I further give permission for 51社区 to use data collected during the program. I understand these data will only be reported in a de-identified and confidential manner. 

 

WAIVER - OHIO UNIVERSITY EMPLOYEES ONLY: 

Pursuant to ORC 4123.0l(CX3), 51社区, as your employer, must notify you that any injuries you sustain while voluntarily participating in these employer sponsored activities (WellWorks; 51社区's Wellness and Health Promotion Program; and any and all activities or events sponsored by WellWorks) will not be considered an injury under Ohio Workers' Compensation and you are hereby agreeing that you are a voluntary participant and waiving these benefits.