FLC & Aquatic Memberships

ADULT WAIVER - FLC & AQUATIC MEMBERSHIPS
Cancellation/Refund Policy: All memberships may be cancelled, without penalty, for any reason, up to
7 days after the purchase of the membership. There will not be any refunds after the first 7 days except
for relocation out of the City of Regina and surrounding areas within 50 kilometers or for medical
reasons confirmed by a doctor’s note. If it is a medical or relocation withdrawal, a prorated refund less
the $15.00 withdrawal refund fee will be assessed. The supporting doctor's note must be received by
the Recreation & Athletic Services Office within 10 days of notification of the medical withdrawal. If the
medical note is not received, the refund will not be issued. If a member is asked to discontinue by the
University of Regina, a prorated refund will be provided. The $15.00 cancellation fee will be assessed for
medical and relocation reasons as well. Refunds may not be done after the membership has expired.
Refunds will be issued within 14 days of the withdrawal. If it is due to medical reasons, refunds will be
issued no later than 14 days after the doctor’s note is received. To discontinue your membership,
please contact the Recreation & Athletic Services office in person or by calling (306)585-4371 or by
email at ras@uregina.ca.
Please note: Drop in punch passes are non-refundable and are not transferable.
Suspensions/Extensions: Fitness & Lifestyle and Aquatic Centre memberships with a term of 6 months
or longer may be suspended for a minimum period of one month to a maximum period of three months.
This may only be done once during the term of the current membership.
Closures: The University of Regina is closed on all statutory holidays as well as any University of Regina
closures for maintenance or other reasons. This includes the period from December 25 to January 1
inclusive. The Fitness & Lifestyle Centre in its entirety or the track within the Fitness & Lifestyle Centre
may be closed or partially closed for Varsity Athletic events or other. The Aquatic Centre may be closed
for Varsity Athletic events or other reasons.
Electronic Devices: Cell phone or other electronic devices are not permitted in the locker room areas.
RELEASE, WAIVER, CONSENT AND INDEMNIFICATION FORM
On my own behalf, I understand that there are inherent risks, dangers, hazards and liabilities to all
participants participating in any Program and/or Service at the University of Regina (the "University"). I
affirm that participation is voluntary. I confirm that I am physically and mentally capable of participating
in Programs and/or Services at the University.
Release, Indemnity and Waiver
1. Indemnity. On my own behalf, I hereby agree to indemnify and save harmless the University and
its governors, officers, employees, students, agents and representatives from and against all losses,
claims, actions, damages, liability and expenses (including any legal expenses incurred by the University)
arising from or in connection with the use of, or presence in, the Facilities by the Customer, or any of its
officers, employees, servants, agents, contractors, members, and volunteers, any person invited or
allowed into the Facilities by the Customer, or any person for whom the Customer is responsible
(collectively, the “User Parties”).
2. Waiver. THE CUSTOMER WAIVES ANY AND ALL CLAIMS AGAINST, RELEASES FROM LIABILITY
AND AGREES NOT TO SUE THE UNIVERSITY, ITS GOVERNORS, OFFICERS, EMPLOYEES, STUDENTS,
AGENTS AND REPRESENTATIVES (EACH A “RELEASED PARTY”), FOR ANY INJURY, INCLUDING DEATH,
LOSS, PROPERTY DAMAGE OR EXPENSE SUSTAINED BY THE CUSTOMER OR ANY USER PARTIES, ARISING
OUT OF, ATTRIBUTED TO, OR IN CONNECTION WITH THE USE OF, OR PRESENCE IN, THE FACILITIES BY
THE CUSTOMER OR ANY USER PARTY, OR THE USE OF ANY EQUIPMENT SUPPLIED BY THE UNIVERSITY
UNDER THIS AGREEMENT, INCLUDING, BUT NOT LIMITED TO, THOSE CLAIMS BASED ON ANY RELEASED
PARTY’S ALLEGED OR ACTUAL NEGLIGENCE OR BREACH OF ANY CONTRACT AND/OR EXPRESS OR
IMPLIED WARRANTY OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE. I UNDERSTAND THAT
NEGLIGENCE INCLUDES FAILURE ON THE PART OF ANY RELEASED PARTY TO TAKE REASONABLE STEPS
TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS ARISING OUT OF,
ATTRIBUTED TO, OR IN CONNECTION WITH THE USE OF, OR PRESENCE IN, THE FACILITIES OR TAKING
PART IN ANY PROGRAMMING AT THE UNIVERSITY. THE UNIVERSITY'S INSURANCE POLICIES PROVIDE
NO COVERAGE FOR SUCH LOSS OR DAMAGE.
WARNING: BY SIGNING THIS WAIVER, YOU ARE GIVING UP YOUR RIGHT, AND THE RIGHT OF ALL
PARTIES, TO SUE THE UNIVERSITY OF REGINA.
In case of emergency, I hereby give permission to University staff, licensed emergency and health care
personnel to provide treatment/services they deem necessary. In the event of medication, medical
advice, treatment and/or equipment are required; I agree to accept financial responsibility for fees in
excess of provincial and or private medical insurance. I agree that all medical information provided to
the University may be disclosed to such emergency and health care personnel. In the event of illness,
accident, emergency, or any other circumstance requiring medical treatment, such treatment may be
procured for the Participant without legal or financial obligation to the University.
I understand that it is my responsibility to advise the University of any Medical Information that
University staff should be aware of. I understand and agree that the University will disclose this medical
information as required to appropriate University staff. I understand that the University staff may not be
medical professionals.
I understand that the University collects and creates information about individuals (“personal
information”) under the authority of The University of Regina Act, and in accordance with The Local
Authority Freedom of Information and Protection of Privacy Act (Saskatchewan) and the Personal
Information Protection and Electronic Documents Act (Canada), for purposes of the administration of
the University and its programs and services. Some of this information may be reported as required by
federal or provincial authority. I consent to the collection, use and disclosure of my personal
information as described above.
I have read, understood and agree to the terms of this agreement. I hereby execute this release, waiver
and indemnification on my own behalf and on behalf of our respective heirs, successors, representatives
and assigns and I knowingly assume any inherent risks of the Program and/or Service.
Hau Phan
Name: ______________________________________
Signature: ___________________________________ Date: ___________________________________

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ADULT WAIVER - FLC & AQUATIC MEMBERSHIPS

RELEASE, WAIVER, CONSENT AND INDEMNIFICATION FORM

Release, Indemnity and Waiver

Signature: _ Date: _

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