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Bluffton City Gym Membership Application

  1. City Gym Membership Types


    Single Membership Cost is $95 
    (Prorated Sign-Up Costs: during April to June is $75; during July to September is $50; during October to December $25)

    Family Membership Cost is $125 
    (Prorated Sign-Up Costs: during April to June is $100; during July to September is $75; during October to December $50)

  2. Select a Membership Type:*
  3. Is any member of your family using your gym membership considered a sex offender as defined in IC 11-8-8-5 and required to register with the local law enforcement authority under IC 11-8-8?*
  4. *NOTE: IF YOU HAVE PURCHASED A SINGLE MEMBERSHIP, ONLY YOUR NAME SHOULD BE LISTED, AND ONLY YOU MAY USE THE KEY. YOU CANNOT BRING ANY NON-MEMBER IN WITH YOU TO USE THE FACILITY WITHOUT PURCHASING A 1-DAY PASS, NOR CAN ANYONE ELSE USE YOUR KEY…INCLUDING FAMILY MEMBERS!

  5. PRINT THE NAMES AND AGES OF ALL WHO WILL BE USING THIS FAMILY MEMBERSHIP. ONLY THOSE LISTED HERE MAY USE THE ASSIGNED KEYS. ABUSE OF THIS RULE MAY CAUSE MEMBERS TO HAVE THEIR MEMBERSHIP REVOKED.

    *NOTE: NO MEMBERS CAN BRING NON-MEMBERS INTO THE GYM WITH THEM TO USE THE FACILITY WITHOUT PURCHASING A 1-DAY PASS, NOR CAN ANYONE ELSE USE YOUR KEY…INCLUDING FAMILY MEMBERS!

  6. CITY GYM RULES - READ AND UNDERSTAND BEFORE SUBMITTING YOUR APPLICATION

  7. CITY GYM RULES

    1. Family members are immediate family-married spouses and minor (IRS dependent) children in the same household, with college-enrolled children still supported by parents. Keys are only to be used by members and may not be given to anyone else. Other household residents 18 years old and above MUST purchase their own key.

    2. Single members are the only ones allowed to use their keys. They CAN NOT bring in guests/family members or allow others to use their keys, including, but not limited to, spouses, children, or other family members.

    3. Anyone using alcoholic beverages, illegal drugs, smoking, or other inappropriate behavior in the gym or other gym-associated facilities will have their membership revoked. No weapons are allowed in or around the facility.

    4. Turn out all lights when you finish using any gym facility and secure doors as you leave.

    5. If you are under 18, you must be accompanied by an adult in this facility. Family members ages 14 to 17 need an adult to use the weight room, and children under 14 are NOT allowed in the weight room.

    6. No one under the age of 18 years may use the sauna.

    7. All facilities are to be used at your own risk.

    8. Treat the facility with respect. It is your tax dollars working for you and your family.

    9. Gym hours are 5 am to 11 pm—no activities past 11 pm without prior approval from the Park Board.

    10. Any person who misuses the City Gym facilities or equipment, engages in misconduct on or about the facilities, or engages in conduct disruptive to programs being held at the facilities, whether in connection with an event sponsored by the Parks Department, shall be subject to having their City Gym privileges revoked at the sole discretion of the Superintendent of the Parks Department for the City of Bluffton.

    11. Immediately notify the gym supervisor if you observe improper behavior or damage in the facilities, or contact the Bluffton Police Department for emergencies: 824-3320. Please report immediately any repairs or maintenance that may be needed. You may leave it on the parks department voicemail: available 24 hours a day at 824-6069. 

    12. Open gym hours are for students only, no adults. This is a special time set aside for children, and adult members cannot be on the gym floor. Members may still use the weight room, locker room & racquetball court.

  8. REMEMBER:

    Membership to the Bluffton City Gym may be revoked at any time by the Parks & Rec. Board or its employees and no refunds will be given.

    DO NOT bring non-members or without a 1-Day pass. You will be at risk of losing your membership.

    1-Day passes ($5 each) are available for purchase if you want to bring a non-member to the gym.

  9. To Reiterate:

    Everyone using the City Gym must have a membership. These rules apply to the use of any part of the gym facility, weight room, saunas, racquetball court, shower room & gym floor.

    You cannot bring anyone into the City Gym unless they also have a membership or have purchased a 1-day pass.

    You cannot bring other people’s children with you to the City Gym unless their family also has a membership.

    You cannot bring “buddies” or “teams” to play a game of basketball. NO team practices are allowed without permission from the park superintendent. 

    If you are found breaking any of the rules outlined in the membership papers, your key will be taken away from you immediately, and your MEMBERSHIP REVOKED WITHOUT REFUND.  

  10. Due to past misuse of gym memberships, this will be your ONLY WARNING. Make sure you understand and comply with the rules regarding single and family memberships.

  11. I, the undersigned, on behalf of myself, any family member listed below, executors, administrators, heirs, next of kin, successors and assigns, HEREBY WAIVE, RELEASE AND DISCHARGE, the City of Bluffton, the Bluffton Parks & Recreation Department, the Mayor of Bluffton, the Common Council of the City of Bluffton, the Bluffton Board of Public Works and Safety, and any agents, successors, assigns or employees of any of the foregoing from any and all claims or liabilities for death, personal injury, property damage, theft or damages of any kind whether or not attributable to the negligence of the releasees, as indicated above, which arise out of my/our using the facilities owned by the City of Bluffton or any department thereof. The undersigned understands that by signing this agreement, they are relieving the City of Bluffton from any obligation to pay for any damages or injuries that occur while any member of the undersigned’s family is engaged in activities connected with the Bluffton City Gym.

    I HEREBY AFFIRM that I am eighteen (18) years of age or older, that I have read this form in its entirety & understand its contents, and that I agree to abide by all the rules outlined in this membership form. Any violations of these rules may result in immediate revocation of my privileges.

  12. Information Consent:*
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