FOR YOUTH DEVELOPMENT®
FOR HEALTHY LIVING
FOR SOCIAL RESPONSIBILITY
Welcome to the YMCA of Metropolitan Fort Worth! We hope you enjoy your visit with us as our guest. Before you utilize
our facility, we ask that you read our guest guidelines below and sign the waiver statement on the back of this form.
Guest Pass Usage:
Guest Pass Daily Fees:
NOTICE: THIS IS A LEGALLY BINDING AGREEMENT. Read this document carefully and in entirety. By signing this agreement, you give up your right to bring a court action to recover compensation or obtain any other remedy for any personal injury or property damage however caused arising out of your participation in YMCA of Metropolitan Fort Worth Programs, now or at any time in the future.
Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a mean to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in YMCA programs or accessing YMCA facilities could increase the risk of contracting COVID-19. The YMCA of Metropolitan Fort Worth in no way warrants that COVID-19 infection will not occur through participation in YMCA programs or accessing YMCA facilities. I further certify that I am in good health and that I have no conditions or impairments which would preclude my safe participation in The YMCA of Metropolitan Fort Worth.
I understand that the YMCA of Metropolitan Fort Worth, (herein referred to as “YMCA”) its officers, agents and employees, assume no responsibility for injuries or illness that I may sustain, as a result of my physical condition, while observing or participating in “YMCA” activities or while using any facilities or equipment during any “YMCA” activities. I understand that the “YMCA” shall not be responsible for personal property lost, damaged or stolen while I or any authorized user of my membership, or any other program participants use any “YMCA” facilities or are on any “YMCA” program premises.
I understand that all exercises may not be suitable for me, and that participation in any exercise program may result in injury and even death. I understand that I should consult my physician before beginning any exercise program. I understand that the instructions or advice presented by the “YMCA” staff are in no way intended to be a substitute for professional medical counseling. I authorize emergency medical treatment in the event of an injury or medical occurrence.
The “YMCA” will not assume responsibility for any injury incurred while participating in any athletic events, childcare programs, parent/child events and outings, special events, sports programs or any related “YMCA” sponsored activities. Certain risks of injury are inherent during participation in these programs and events. Nor will the “YMCA” be responsible for any lost or stolen items while members and/or program participants are using “YMCA” facilities, on “YMCA” premises, or on off-site “YMCA” program locations. I, the undersigned, for myself and my heirs, do hereby release the “YMCA” and its employees and agents from any and all claims for injury, loss or damage I may suffer as a result of my participation, including any injury caused by the negligence, if any, of the “YMCA”, its officers, employees, agents, volunteers or the negligence of anyone else.
By participating in the YMCA Nationwide Membership Program, I agree to release the National Council of Young Men’s Christian Associations of the United States of America, and its independent and autonomous member associations in the United States and Puerto Rico, from claims of negligence for bodily injury or death in connection with the use of YMCA facilities, and from any liability for other claims, including loss of property, to the fullest extent of the law.
I hereby authorize the YMCA of Metropolitan Fort Worth and any of its branches to use my or my child’s photo/likeness in promotions, advertising and other public relations programs of the YMCA, including both print and digital promotions. I give my permission to the YMCA of Metropolitan Fort Worth to use photographs, film footage, or tape recordings, which may include me or my child’s image or voice for purposes of promoting or interpreting YMCA programs for no compensation.
The YMCA of Metropolitan Fort Worth utilizes the Background Investigator Bureau to screen for sex offenders. All members age 18 and up will be screened utilizing their state issued ID. This may cause certain individuals to not be allowed access to any YMCA of Metropolitan Fort Worth facility.