Fitness Room Application

1. Utilizing our fitness facility is done at your own risk. By completing this form you agree no
responsibility will be held against Province Lake Golf, it’s ownership, staff or associates for any injuries
or illness while at our facility. You should consult your physician before engaging in any fitness activity.
2. Province Lake Golf nor its staff are responsible for personal property brought to the facility.
3. You agree to adhere to posted policies while utilizing our services.
4. The fitness area is available from 6am to 8pm seven days a week. Any use outside of the hours can be
granted only by management or owners.
5. Any use of private personal trainers or advisors is at your own risk & of the person instructing you.
6. Guests are prohibited in the fitness room.
7. We encourage the use of headphones during your workout to preserve a peaceful environment for
other fitness room users and the Massage Therapy services located behind the fitness area.
8. Use of the fitness area is not permitted unless your membership is paid and current.
9. Please do not bang equipment or drop weight items on floors.
10. The water and beverage cooler are based on the honor system. Additional beverages are available in
the pro shop for credit card paying members.
11. The property and fitness room are under video surveillance for your protection.
12. Please always show respect and courtesy to all other members. This area is designed for us all to
improve our personal health in a safe and respectful environment.
13. Please wipe equipment after using it, including exercise and yoga mats.
14. Please do not use mats or equipment with your street shoes unless they have been wiped.
15. During peak times please use a circuit training method in the gym, meaning moving between
equipment and stations in 20-minute intervals.
16. Providing entry code to non-members will result in immediate revocation of membership without
refund.
17. Memberships pre-paid are non-refundable.
18. Monthly memberships require a 30 day notice for cancellation.

Pricing
______$300 Per Year – One Time Payment By Cash or Check
______$360 Per Year - $30 Per Month By ACH Payments
______$10 Per Visit – Day Pass By Cash or Check
______$140 Per Year – Employee/Associate Membership
Name:____________________________ Email: ___________________________________
Mailing Address:_____________________________________________________________
Phone:______________________Emergency Contact:_______________________________
Payment Method:___Cash. ____Check. ____ACH _____Other
Account #__________________________ Routing Number___________________________
Signature for approval of payments:______________________________________________