Employee Fitness Terms Agreement

EMPLOYEE FITNESS TERMS AGREEMENT

Parties and Agreement Date

Employer Name:

Employer Address:

Employee Name:

Employee Address:

Agreement Date:

Recitals

This Employee Fitness Terms Agreement (Agreement) sets forth the terms and conditions under which the Employer grants the Employee access to employer-sponsored fitness facilities, programs, classes, or membership benefits (collectively, Fitness Program). Participation is a voluntary privilege and is governed by the terms below.

Program Participation and Eligibility

By signing, Employee represents that Employee is eligible for participation and will complete any required enrollment procedures. Employee must be an active employee in good standing to receive access. Employee agrees to notify the Employer promptly of any change in employment status that would affect eligibility.

Medical Clearance and Assumption of Risk

Employee acknowledges participation in the Fitness Program involves physical activity that includes a risk of injury. Employee affirms that Employee has no medical condition that would make participation unsafe, or if such a condition exists, Employee has obtained written medical clearance from a licensed physician prior to participating.

Employee certifies they have consulted a healthcare professional and received clearance to participate in the Fitness Program.

Waiver, Release, and Indemnification

To the fullest extent permitted by law, Employee agrees that Employer, its officers, directors, employees, agents, contractors, and representatives (Releasees) shall not be liable for any injury, loss, claim, damage, or liability of any kind arising from or connected with Employee's participation in the Fitness Program, whether caused by the negligence of Releasees or otherwise. Employee releases and discharges Releasees from any such claims and expressly agrees to indemnify, defend, and hold Releasees harmless against all claims, demands, liabilities, damages, expenses, and costs (including reasonable attorneys' fees) arising out of or relating to Employee's participation.

Employee acknowledges this waiver is a material inducement for access to the Fitness Program and will survive termination of employment to the extent permitted by law.

I acknowledge and accept the Waiver, Release, and Indemnification provisions above.

Facilities, Conduct, and Safety Rules

Employee agrees to comply with posted facility rules, instructor directions, and any safety protocols established by the Employer. Employee will not bring unauthorized persons into controlled fitness areas and will not use equipment beyond Employee's training or abilities.

Fees, Payment, and Payroll Deduction

If a fee is associated with participation, Employee elects one of the following payment methods. Employee authorizes the Employer to deduct agreed fees from Employee's wages where permitted by law.

Authorize payroll deduction for fitness fee

Data Privacy and Health Information

Employer may obtain limited health-related information to administer the Fitness Program (e.g., medical clearances, functional limitations). Such information will be used only for program administration, safety, and reasonable accommodation and will be treated as confidential consistent with applicable law.

I consent to the collection and limited use of health information as described above.

Termination of Access; Modification

Employer reserves the right to modify program rules, hours, fees, or to suspend or terminate Employee access at any time for misconduct, safety concerns, or changes in business need. Termination of employment terminates participation rights unless otherwise provided in writing.

Insurance; Emergency Treatment

Employee understands Employer does not provide personal injury insurance for participants. Employee is responsible for maintaining any insurance desired. In the event of injury or medical emergency, Employee authorizes Employer or its agents to secure emergency medical care as deemed necessary; Employee agrees to be responsible for any costs incurred.

Emergency Contact Name:    Phone:    Relationship:

Authorization for Background Checks and Employer References

As a condition of participation, Employee authorizes Employer to contact prior employers and to obtain background, criminal, or other records as necessary for safety-sensitive programs. Employee waives any claim against Employer for making such inquiries in good faith.

I authorize employer to contact prior employers and to conduct background checks as described above.

Employment History

Provide the two most recent employers.

Dates Employed: From to

Dates Employed: From to

Education

References (Professional)

Provide three professional references.

Legal Disclosures

At-Will Employment: Nothing in this Agreement modifies the at-will nature of Employee's employment, unless a separate written agreement signed by authorized representatives of Employer states otherwise.

Equal Opportunity: Employer provides program access in a manner consistent with its obligations under applicable nondiscrimination laws and will provide reasonable accommodations where required.

Acknowledgement and Certification

I certify that all information provided in this Agreement and accompanying forms is true and complete. I understand that false statements or omissions may disqualify me from participation or subject me to disciplinary action. I authorize Employer to verify any information provided, including contacting prior employers and obtaining background checks to the extent required for participation.

I certify the statements above and consent to verification described.

Miscellaneous Provisions

Governing Law: This Agreement will be governed by the laws of the state in which Employer's primary place of business is located, without regard to conflict of law principles. Venue for any dispute will lie in the appropriate state or federal court located in that jurisdiction.

Severability: If any provision is held invalid or unenforceable, the remaining provisions will remain in full force and effect.

Entire Agreement: This Agreement constitutes the entire agreement between the parties regarding the Fitness Program and supersedes all prior agreements and understandings, oral or written, relating to the subject matter herein.

Applicant Authorization to Contact Previous Employers

Employee authorizes Employer to contact the employers listed above and to request records or references necessary to verify employment history and suitability for participation in safety-sensitive activities.

I authorize contact with prior employers for verification purposes.

Sign Now