Community Family (covers up to six members)* additional members

Saint Leo University Pool Membership Fees Info & Application
Summer 2014
Saturday, May 24th, 2014 Saint Leo University opens the University Pool to the community through Sunday, August 15th,
2014. Regular hours of operation will be daily 12:00pm to 6:00pm. However, hours can be adjusted and will be posted
outside the pool. Once Membership application, waiver, and proper payment is received – members will be placed on
the Master Membership list and will be required to check in with the Desk attendant located at the main pool entry
gate.
Community Family (covers up to six
members)* additional members are $18.69 +
Tax each ($20.00)
May 24th – August 15th $186.92 + Tax = $200.00
Community Individual
May 24th – August 15th $93.46 + Tax = $100.00
Guest Pass – daily
$4.67 + Tax = $5.00 (separate waiver
required)
May 24th – August 15th $93.46 + Tax = $100.00
Saint Leo Alumni Family *covers up to six
members, additional members are $9.34 + Tax
each ($10.00)
Saint Leo Alumni Individual
May 24th – August 17th $46.73 + Tax = $50.00
Saint Leo University: Faculty, Staff and
immediate family, SLU students (^)
FREE (membership application required)
^SLU students must show ID and be registered for Spring or Fall Sessions; SLU ID card for current employees,
and proof of graduation for alumni.
+ All Memberships are non-refundable and there is no pro-rating.
+ In order to be placed on the Membership list, the Application and Waiver must be completely filled out and
accompanied by proper payment. Membership applications are to be obtained from the www.saintleolions.com
webpage and either mailed in to the Director of Aquatics, Paul Mangen: [email protected], or dropped off
with the Saint Leo University Athletics Office coordinator.
SLU POOL SUMMER - MEMBERSHIP APPLICATION
Please fill out the following information. Indicate with “X” next to the desire membership choice.
- Saint Leo University Faculty/Staff/Employee:
$0 ____
- Saint Leo Alumni Individual:
Full: $46.73 + Tax ____
-Saint Leo Alumni Family:*
Full: $93.46 + Tax____
- Community Individual:
Full: $93.46 + Tax ____
-Community Family:*
Full: $186.92 + Tax____
*Community Family includes up to 6 immediate family members, additional members are $18.69 + Tax ($9.35 + Tax for alumni
family). Number of Additional Immediate family members: _____
Total Amount Enclosed: $ __________ (Checks Payable to: Saint Leo University – Pool)
Individual Application Information: [ ] Alumni
[ ] Community
Name:___________________________ _____
Phone:_________________________________
Address:______________________________________________
Date of Birth: ___________
[ ] SLU faculty/staff/employee
Email:_____________________
Emergency Contact Info: ______________________________________
Signature:_______________________________
Date: ________
Family Application Information: [ ] Alumni
[ ] Community
[ ] SLU faculty/staff/employee
Parent(s): ____________________________
_____________________________________________
Phone(s): ____________________________
_____________________________________________
Mailing Address: _______________________________________________________________________
Email(s): _____________________________
Children*
______________________________________________
Age
1._____________________________
_____
2. ____________________________
_____
3._____________________________
_____
4._____________________________
_____
Additional Members and age: ($18.69 + Tax = $20.00)
._____________________________
_____
.____________________________
_____
*to be considered a child, persons must be 17 years of age or younger. Anyone under the age of 13 must be accompanied by an
adult (18 years or older).
Saint Leo University Aquatic Center and Pool Waiver
I, ________________________________________(print name), on behalf of myself, my heirs, and representatives, in
consideration of my being permitted to participate in and attend the Saint Leo University Pool during the 2013 Summer
(hereinafter “Event”), hereby release Saint Leo University, its Board of Trustees, individual Board Members, its
President, employees, agents, and volunteers (hereinafter the “releases”), from any and all liabilities, claims, demands,
injuries, damages, actions, and causes of action, including but not limited to actions caused by the negligent of any
Release, arising from or related to my travel to, participation in, or attendance at the Event.
To Ensure prompt care and attention in case of sickness, injury, or accident, I hereby authorize Saint Leo University or its
duly authorized representatives to incur expense for medical treatment reasonably necessary for my health and welfare,
and further agree and promise to pay any and all such expense incurred in excess of the amount paid pursuant to any
accident, health or other policy of insurance providing coverage at the time of sickness, injury, or accident.
I, the undersigned, have read this GENERAL RELEASE OF ALL CLAIMS AND REIMBURSEMENT AGREEMENT and
understand that it is a General Release and that by executing same I am irrevocably waiving certain rights. I execute it
voluntarily, of my own accord, and with full knowledge of its terms and conditions.
Upon Approval of the application, I understand that the use of the SLU Swimming pool and connecting facilities are
purely voluntary and that neither Saint Leo University nor the Athletics Department, including employees of the
University assumes responsibility for any injury incurred at SLU pool and connecting facilities. I am aware of the risks
involved in participating in physical activities, and agree that it is my responsibility to determine whether or not I am
physically fit to participate in such activities at the pool. I understand that Saint Leo University grants me the privilege of
participating on the condition that I sign the attached waiver from acknowledging the Pool rules, policies to which I
hereby agree to be bound.
I also agree to abide by all polices and rules developed by the Athletics Department, and Aquatics at Saint Leo
University of which I have received a copy. Failure to do so may result in suspension of my Saint Leo University
membership and privileges.
Printed Name(s) of
Participant(s)_______________________________________________________________________________________
__________________________________________________________________________________________________
Signature: __________________________________________ Date: _____________ cell: ________________________
Printed Name: _______________________________________
Additional Emergency Contact info: Name and relationship: _______________________________________________
Phone: ___________________________________________________________________________________________
Please read and sign the above release and submit your payment with completed application to:
Saint Leo University – Director of Aquatics
University Campus – MC2038
Saint Leo, FL 33574
Saint Leo Aquatic Center Rules
1. No person may use the pool unless it is officially open and the lifeguards are on duty. Hours are posted outside
of the pool gate entrance.
2. All instructions given by the lifeguards are to be followed.
3. It is required that anyone coming from exercise and/or is sweaty needs to shower before entering the pool.
4. All persons are required to check in the attendant to show SLU ID or sign-in with a community membership or
day pass – with a waiver on file; or be with an approved group.
5. If you are not a member of SLU, you must purchase a guest pass.
6. Admission to the Pool may be denied for any of the following reasons:
a. Intoxication
b. Open sores, wounds, skin infections
c. Any condition or evidence, which in the opinion of the manager would jeopardize the health and safety of the
membership.
7. No running allowed. Patrons must walk in pool and restroom areas.
8. Diving is permitted only in the deep end. Please note signs around pool edges.
9. No Ball throwing, with exception of beach balls.
10. Running, pushing, causing undue disturbance, or any conduct that may endanger the welfare of self or other
patrons is prohibited.
11. Proper swimming attire must be worn. Cotton T-shirts are not permitted.
12. Spitting, blowing of nose into pool or onto deck, improper public displays of affection, and profanity are
prohibited.
13. Glass containers or breakable objects of any kind are not permitted in the pool area, restrooms, or outside
deck.
14. All injuries occurring within the pool area or restrooms must be reported to the lifeguard on duty.
15. Smoking is not permitted inside the pool gates, or within 50 feet of the pool facility.
16. No animals are permitted in the pool or on the pool deck.
17. The Saint Leo University assumes no liability for the loss or theft of personal belongings. Items left in pool area
at the end of the day will be placed in the pool’s lost and found.
18. The lifeguards or Director of Aquatics may close any portions of or the entire pool complex for any safety or
maintenance reason.
19. The lifeguards and Director of Aquatics have the authority to enforce these rules and may remove any patron
who violates these rules from the Saint Leo University Pool, as well as revoke memberships for habitual and/or
egregious acts.
20. Patrons that are not potty trained must wear water diapers.
21. Food and Drink are not permitted in the pool area. Clear water bottles are permitted.
22. Emergency Action plans are to be followed when instructed by the Aquatics staff.