Release Form for Use of Fitness Facilities

If you plan to use UCAR/NCAR fitness facilities and have not yet filled out a release form, please print out this form, sign and date it, and send it to Human Resources, CG4, before your first use.

UNIVERSITY CORPORATION FOR ATMOSPHERIC RESEARCH
FITNESS/EXERCISE CENTERS RELEASE FORM

In consideration, and as a condition, of my use of the facilities and equipment available at the University Corporation for Atmospheric Research/National Center for Atmospheric Research (UCAR/NCAR) Foothills or Mesa Laboratory Fitness/Exercise Centers or UCAR/NCAR facilities made available for this purpose, I hereby acknowledge and agree as follows:

My participation in exercise activities and use of the facilities and equipment at the Fitness Exercise Centers or other UCAR/NCAR facilities is voluntary and is not being done at the direction or encouragement of any UCAR employee in a supervisory- capacity.
I recognize that, before beginning a program of strenuous physical activity, I should have a thorough physical examination by a physician who has been informed of my proposed course of activity.
Vigorous exercise can be dangerous for some people. Intense physical activity coupled with certain environmental conditions may aggravate existing asthmatic or other respiratory conditions. Those over the age of 35 and coronary-prone younger people who possess high risk factors should obtain a stress test electrocardiogram prior to beginning an exercise program. Stress tests are particularly important to those who have the following risk factors: overweight, hypertension, diabetes, sedentary life style, cigarette smoking, or family history of heart disease.
I assume complete responsibility for my physical well-being in a voluntary exercise program (including any aerobic, yoga or other exercise program) in which I may engage at the Fitness Centers or other UCAR/NCAR facilities and understand that no responsibility is assumed by any instructor in the program.
I recognize that, despite all precautions on my part and on the part of UCAR, there are risks of injury or illness which can occur because of my use of the equipment and facilities, and my engaging in a program of physical activities at the Fitness/Exercise Centers or other UCAR/NCAR facilities and I EXPRESSLY ASSUME SUCH RISKS AND WAIVE, RELINQUISH AND RELEASE ANY CLAIM WHICH I MAY HAVE AGAINST UCAR OR ITS EMPLOYEES OR AGENTS AS A RESULT OF FUTURE PHYSICAL INJURY OR ILLNESS INCURRED IN CONNECTION WITH, OR AS A RESULT OF, SUCH ACTIVITIES OR THE USE OF SUCH EQUIPMENT AND FACILITIES, EXCEPT TO THE EXTENT SUCH CLAIM MAY RESULT FROM THE SOLE OR EXCLUSIVE NEGLIGENCE OF UCAR OR ITS EMPLOYEES OR AGENTS.

Signature: ______________________________________________________

Printed Name: ___________________________________________________

Date: __________________

Release Form for Use of Fitness Facilities

UNIVERSITY CORPORATION FOR ATMOSPHERIC RESEARCH FITNESS/EXERCISE CENTERS RELEASE FORM

UNIVERSITY CORPORATION FOR ATMOSPHERIC RESEARCH
FITNESS/EXERCISE CENTERS RELEASE FORM