MAZENOD COLLEGE WEIGHT ROOM

STUDENT MEMBERSHIP, EXPECTATIONS and AGREEMENT FORM

(This from must be filled out signed/dated and returned to the student counter along with payment to be stamped.
Once stamped at the student counter it must be returned to the Sports office in the Provence Centre)

The weight room is open only to GYM Members under supervision in the GYM operation hours. Only students from
year 10-12 are able to apply for a gym membership. If there is no supervisor present you must wait outside until they
arrive.

GYM OPERATION HOURS (in term only):

Monday to Friday: Lunchtime (12.35pm – 1.25pm) and Afterschool (3.15pm -4.25pm)

MEMBERSHIP COST: STUDENT COUNTER USE: SCHOOL STAMP

Semester Membership: $30.00 AMOUNT RECEIVED: $________

Whole Year Membership: $50.00 DATE: ____ / ____ / ____

All gym members are expected to uphold the following:

- It is expected that all gym members use a towel and wipe down all equipment after use.
- Gym members must wear suitable gym attire. This can be either Mazenod sport uniform or other Mazenod College
sporting attire. Strictly no school shoes, open toed shoes or normal school uniform is to be worn in the weight room.
- Gym members must return all equipment to the correct storage locations during and at the end of their workout.
- Gym members must use all equipment safely and effectively. If unsure gym members must ask the weights room
supervisor for assistance.
- Gym members are expected to use the weights room in cooperation with all other gym members.
- Gym members must notify gym supervisor of any injuries, limitations or health concerns prior to using the weights
room.

I _______________________________________________ hereby agree to and understand the Mazenod weight

room expectations. I understand that failure to uphold these expectations will mean automatic suspension and or
cancellation of my gym membership.

Student Signature:______________________________________________________________________

Year Level/ Homeroom:__________________________________________________________________

Parent/ Guardian Signature:______________________________________________________________

Sports Facilities Manager:____________________________________ Date: ____ / ____ / ____