Northwestern Chicago Campus Fitness/Recreation

You are required to notify accounting+wellfit@ffc.com if your contact information or employment/ enrollment status changes (e.g., if you separate from the University or McGaw, graduate, take a leave of absence, or change status from full-time to part-time student). If your status changes, you must also fill out a current member status change request at ffc.com/nu. Auxiliary Services at 847-467-0662 or s-marrougi@northwestern.edu. To verify your eligibility to use the clubs, FFC will refer to the list of member names supplied by Auxiliary Services. You will be required to show a valid Northwestern University Wildcard or government-issued photo ID.

Each individual covered under this application is required to read the following liability statement and provide a signature and date in the space below, indicating acknowledgement and understanding of the statement.

Participation in all fitness and recreation facilities and programs is on a voluntary basis. Northwestern University shall not be liable for any injuries, damage or other such losses which individuals may incur while using fitness and recreation facilities or participating in fitness and recreation programs. I, the undersigned, specifically assume all risks of injuries, damages or other such losses while using fitness and recreation facilities or participating in any program, exercises or activity. I waive any and all claims against Northwestern University, its trustees, officers, agents and employees, or against any athletic facilities provided under this benefits application.

Your completed application must be accompanied by the following (as applicable):
For spousal membership, include a copy of your marriage certificate
For domestic partner membership, include a copy of your civil union certificate or Declaration of Same-Sex Domestic Partner Relationship form: www.northwestern.edu/auxiliary-services/docs/fitness/DomesticPartnerRegistration.pdf

Fitness Formula Clubs is committed to providing our members, guests and employees with an environment that is as clean and safe as reasonably possible. The cooperation of our members is required to best achieve this goal. To that end, in consideration for access to an FFC Club and its equipment, programs, supplies, staff, services, locker rooms and other facilities (collectively the “Facilities”), we ask that you, for yourself and all other members named on your Membership Agreement (together “Member”), acknowledge and agree with The Fitness Formula, Ltd. (“FFL") and the FFC Club owners listed below along with any other FFC locations that may be added at a later date (together with FFL referred to herein as “FFC”) as follows:

A. Member understands that other members, guests and staff will have access to the Facilities. While FFC takes reasonable steps to insure the safety and sanitization of the equipment, programs, supplies, services and Facilities, Member acknowledges that FFC cannot and does not guarantee that the Facilities are germ/virus free (this includes but is not limited to COVID-19).

B. Member agrees: (1) to have his or her temperature taken by a FFC employee upon entering a FFC Club and if his or her temperature is equal to or greater than 100.4 degrees, he or she will not be admitted to the FFC Club on that day; (2) to not seek entry to or use of the FFC Club if Member feels sick or exhibit any of the signs or symptoms of COVID-19: (3) that Member may be denied access to and use of the FFC Club unless Member truthfully confirms that he or she is well, does not have signs and symptoms of COVID-19, and has not knowingly been exposed in recent days to a person diagnosed with COVID-19; (4) to adhere to any health, safety, social distancing and protective guidelines established by FFC or the U.S Centers for Disease Control, World Health Organization, State of Illinois or other federal, state or local governmental agency, or recommended by the International Health Racquet Sports Club Association.

C. Member understands, acknowledges and agrees that access to and use of the Facilities by Member is voluntary and that they involve inherent risks. As material consideration for access to and use of the Facilities, Member agrees to specifically assume all risks of personal injury, illness and death, property loss and other damages including, without limitation, risks of contracting COVID-19 or other bacterial or viral illnesses, associated with fitness classes and equipment, sports exercise, all locker room facilities and fitness advisory services and all other Facilities, and Member hereby releases, waives, discharges and covenants not to sue FFC, The Fitness Formula, Ltd. and their respective officers, directors, managers, owners, partners, employees and agents (“FFC Parties”) for any and all claims, liabilities, losses, costs, damages and expenses that Member may have against any FFC Parties for any personal injury, illness or death, property loss or other damages connected to or arising out of the associated risks. Any dispute between Member and any of the FFC Parties under this Agreement will be resolved by arbitration in Chicago, Illinois in accordance with the rules of the American Arbitration Association.

This Social Responsibility Agreement constitutes an amendment to, and does not replace, the Membership Agreement between FFC and the Member. Member has the full power and authority to bind himself or herself and all other members named in such Membership Agreement to this Agreement.

Signatures to this Agreement transmitted by electronic means (including facsimile transmission or electronic mail transmission of a portable document format document) or affixed as an electronic signature shall be deemed and treated as original signatures and shall be valid and effective to bind Member to this Agreement.

Member (and all additional members under the Membership Agreement) have read, understand and agree to this Agreement.

Schedule of FFC Clubs

Charges for any additional services received by Member during the previous month are charged prospectively and on the first business day of each month. Member authorizes Club or its agent(s) to make an EFT or ACH withdrawal on the first business day of the month from the bank or credit card account specified below by Member for any amount due from Member under this Agreement on that date. Notwithstanding any other provision, this payment preauthorization excludes any enrollment fee or monthly dues paid by NU. By signing this Agreement, Member agrees that no advance written notice of a variance in the amount of an EFT or ACH withdrawal will be provided to the Member unless the total amount automatic debit is more than $2,500 including any purchases made during the month on house account and any outstanding balance from prior months. This authorization for automatic debit remains in full effect until Member cancels this Agreement in conformance with the Terms and Conditions. Member agrees to provide Club with any changes in the account from which payments are to be made and that the Club is authorized to extend the expiration date of any credit or debit card utilized to coincide with any update or reissuance of the current credit/debit card that secures the membership and associated services. Member acknowledges that he/she is responsible for notifying my bank of any errors that appear on my bank or credit card statement in a timely manner and that he/she shall notify the Club within 60 days of a claimed error on my bank or credit card statement.

Memberships will not auto-cancel upon graduation. You must submit your cancellation request via ffc.com/cancellation by the 15th of the month to prevent billing in the following month. All notices of cancellation by Member shall be made in writing and delivered by mail or electronic mail to the address specified in this Agreement, by the 15th of the month before the intended cancellation month. All notices and requests of cancellation must include the membership card(s). All refunds to which the Member is entitled shall be made within 30 days of the Club’s receipt on the cancellation notice. (A) Member may cancel this Agreement without any penalty within three (3) days after the first business day after this Agreement is signed by Member (or within seven calendar days after the Club initially opens for business) provided it is in writing and delivered by certified or registered mail to the address specified in this Agreement. All monies paid shall be refunded within thirty (30) days of the Club’s receipt of the cancellation notice. (B) Member has the right to cancel this Agreement if Member moves and the new residence is more than twenty five (25) miles from any health club operated by Club or its affiliated locations, and upon the failure of the Club to designate a center with comparable facilities and services within 25 miles of the new residence which agrees to accept the obligations of this Agreement, Member may cancel this Agreement. Member must submit written cancellation notice by certified or registered mail and provide satisfactory proof of new residence. If Member so cancels this Agreement, Member will be liable for only that portion of the charges allocable to the time before evidence of relocation is presented to the Club, plus a fee not to exceed 10% of the unused balance or $50, whichever is less. (C) If Member is unable to use or receive all services contracted for, because of death or disability, Member or Member’s estate shall be liable only for that portion of the charges allocable to the time prior to death or the onset of the disability. In the event of a cancellation for death or disability, the Club has the right to require and verify reasonable evidence of such death or disability. (D) To the extent not made pursuant to sub-paragraphs 11(A) through 11(C) herein, all requests by Member for cancellation of this Agreement after the Initial Term must be provided by the 15th of the month prior and must be in writing and delivered by certified or registered mail to the address specified in this Agreement.

Release. In consideration of gaining membership or being allowed to participate in programs of the Club and to use its facilities, equipment and machinery in addition to the payment of any fee or charge, I do hereby forever waive, release, discharge and covenant not to sue the Club, its affiliated Fitness Formula clubs, and their respective trainers, employees, agents, administrators, owners, officers, directors, affiliates, representatives and others acting on their behalf (hereinafter “Released Parties”) from any and all claims, demands, losses, liabilities or damages to my person and/or property that I might sustain while participating in, arising out of, or on account of my use of facilities, equipment or machinery at the Club or its affiliated Fitness Formula clubs, INCLUDING BUT NOT LIMITED TO DEATH, DISABILITY OR DAMAGE TO PERSON OR PROPERTY, EXCEPT TO THE EXTENT CAUSED BY CLUB’S NEGLIGENCE OR WRONGFUL CONDUCT, CAUSED OR ALLEGED TO HAVE BEEN CAUSED IN WHOLE OR IN PART, BY THE NEGLIGENT ACT OR OMISSION OF THE RELEASED PARTIES OR OTHERS ACTING ON THEIR BEHALF.

1. There have been no verbal agreements or other agreements made to alter the terms of the Membership Agreement.
2. By signing this Agreement I certify that I understand that all personal training services and other benefits provided by the Club to me shall be subject to the terms of this Agreement and the Terms and Conditions.
3. By signing this Agreement I certify that a copy of the Illinois Physical Fitness Services Act ("Act") 815 ILCS 645/1 et seq. (2013) has been made available to me at www.ffc.com/docs/ILPFA.pdf, and I agree that the terms of the Act are incorporated into this Agreement. Any prohibitions or disclosures required by the Act are made by incorporation of the Act herein. Further any other agreement between Member and Club which is subject to the Act, hereby incorporates the Act into the terms of such agreement.