Ford Fieldhouse Health Club Application

The Health Club is available to our current students, staff, and faculty for free.

If you are an enrolled student in an active semester, you do not need to fill out this form to access health club services.

All fields marked with an asterisk (*) are required.

 

Contact Information
Address
Member Information

If you are an enrolled student in an active semester, you do not need to fill out this form

Are you currently a GRCC Health Club Member?
Have you had a prior membership with GRCC's Health Club under a maiden or other name?
Affiliation
Employee ID
Family Information
Locker Room
Which locker room will you require access to as a member?
Emergency Contact
Membership
member_payment
Partner Membership
partner_payment
Confirmation

I hereby agree and understand that Grand Rapids Community College, the GRCC Board of Trustees, GRCC administration, staff of the Ford Fieldhouse, or anyone else connected with the operation of the Ford Fieldhouse assume no responsibility for any accident, injury, death, including any expense related thereto, as result of my participation in the GRCC Ford Fieldhouse Health Club. I certify that to the best of my knowledge, I am able to participate in physically demanding activity, and that I have no underlying medical conditions. In event of a medical emergency, I authorize GRCC staff, or medical first responders to take appropriate medical action, which may include medical transport to a medical facility at my own expense. Further, I agree that my conduct will at all times be in accordance with all laws and ordinances, in compliance with all GRCC policies, and within civil norms. I understand that failure to comply with this may result in action up to and including termination of my membership with no expectation of a refund. The Ford Fieldhouse reserves the right to deny membership to any applicant.

Signature