Woodlake Community Association
Mission & Values
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Fitness Advisory Group
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Common Terms & Acronyms
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Fitness Group Registration
Address Line 2
District of Columbia
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Are you a...?
Member and/or Resident
Resident/Member: Please choose your package
1 Day a Week ($115)
2 Days a Week ($200)
3 Days a Week ($300)
Non-Resident/Non-Member: Please choose your package
1 Day a Week ($140)
2 Days a Week ($250)
3 Days a Week ($375)
Is this a Junior or Adult Registration?
Please choose your Junior level
LEARN (8-12 yrs old): Mon, Wed, & Frid 4P-5P
GROW (13-15 yrs): Mon, Wed, & Frid 5P-6P
ADVANCE (16-19 yrs old): Mon, Wed, & Frid 6P-7P
Registrant Medical Information
Physician Phone Number
Please list any medical conditions that the registrant has or has had of which we should be aware
What treatments or medications does the registrant require for any of the above conditions?
Please list all allergies (insects, plants, foods, etc.) If any allergies are present, please list what measures should be taken (epipen, etc.)
Please list any medications the registrant is taking that we need to be aware of
Please list any medications the registrant has had an allergic reaction to (ie: penicillin, sulfur, tetanus, etc.)
If my child is injured or becomes seriously ill, and I cannot be reached, I authorize Woodlake Swim & Racquet Club ("WSRC") staff to arrange for the transportation of my child to a licensed emergency medical care facility to receive treatment. Furthermore, I authorize WSRC staff or contractors, the medical personnel at the facility, or emergency responders to provide such treatment to my child as is indicated by the nature and extent of his/her injury or illness either during transport, at a medical facility, or on-site at the WSRC. Finally, I accept full financial responsibility for all costs, charges, and fees associated with the transportation of my child and for the treatment provided by the medical care facility or emergency responders to my child and absolutely and unconditionally agree to indemnify and to hold the WSRC harmless from all such costs, charges, and fees.
Health Insurance Plan Name and Plan Number
Signature of Registrant (or Parent or Legal Guardian)
Once you click the SUBMIT button, you will be redirected to PayPal to complete your payment. Note: you do not need a PayPal account; you can use your credit card as well.
Parent/Guardian Consent & Agreement
I am requesting that the named camper be admitted to the Draft Day Athletics Fitness Group and I understand the nature and scope of the group listed above and will adhere to all policies of the group. I understand that there are risks and dangers associated with fitness groups. I understand that it is not the function of Woodlake, its employees, agents, operators, or instructors to guarantee the safety of participants with respect to summer camp. I also understand that each participant has the responsibility to exercise due care in the performance of summer camp activities for the safety of himself/herself and the other participants.
I furthermore understand that a medical form must be filled out, signed and be submitted with the registration form in order for a child to attend. In the event that I cannot be reached in an emergency involving the above-named participant, I hereby give permission to the appropriate medical personnel, selected by the Directors, to provide medical treatment deemed necessary by such personnel. Also, if I enroll my child in an event that will need transportation, my signature below signifies that I give permission for my child to be transported from the Draft Day Athletics Fitness Group to the appropriate destination via van. Woodlake will provide notice the day prior to an event needing transportation, I will then have the opportunity to withdraw my child from such an event.
In consideration of the participants being permitted to enroll in the Draft Day Athletics Fitness Group, I hereby release, indemnify, and hold harmless Woodlake, its employees, operators, counselors, and instructors from any and all claims and demands, costs, charges, and expenses for harm, injury, damage, or loss which may be sustained by the participant as a result of or relating to participation in the group.
We do not offer refunds for any cancellations.
I have read, and I understand, the above release
I understand that Woodlake Community Association cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.
This agreement shall be governed by the laws of the Commonwealth of Virginia. In the event any portion of this Release shall be declared invalid, unenforceable or void by a court of competent jurisdiction, the remaining provisions of this Release shall remain in full force and effect.
I have read, and I understand, the above disclaimer
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December 6, 2023