{"id":1035,"date":"2018-07-31T15:18:35","date_gmt":"2018-07-31T20:18:35","guid":{"rendered":"https:\/\/wp.stolaf.edu\/recreation\/?page_id=1035"},"modified":"2025-07-30T09:54:56","modified_gmt":"2025-07-30T14:54:56","slug":"consent-form","status":"publish","type":"page","link":"https:\/\/wp.stolaf.edu\/recreation\/consent-form\/","title":{"rendered":"Tostrud Waiver Form"},"content":{"rendered":"<div data-modular-content-collection>\t\t\t<div\n\t\t\tclass=\"site-section site-panel__wysiwyg panel panel-wysiwyg site-section__bg--normal\"\n\t\t\tdata-depth=\"\"\n\t\t\tdata-js-panel=\"wysiwyg\"\n\t\t>\n\t\n\t\t\t<div class=\"site-section__inner l-wrapper site-section__inner--top-padding-minimal site-section__inner--bottom-padding-minimal\">\n\t\n\t\n\t\t\n\t\n\t\n\t<div class=\"site-section__content \">\n\t\t<div class=\"site-grid site-grid__wrapper \"\n\t\t\t data-depth=\"0\"\n\t\t\t data-name=\"columns\"\n\t\t\t data-livetext>\n\n\t\t\t\n\t\t<\/div> <!-- .site-grid, .site-grid__wrapper -->\n\t<\/div> <!-- site-section__content -->\n\n\n\t\t\t\t\n\t\t\t<\/div>\n\t\n\t\t\t<\/div>\n\t\n\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_35' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Agreement for Assumption of Risk, Indemnification, Release, and Consent for Emergency Treatment for St. Olaf Community Members<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_35'  action='\/recreation\/wp-json\/wp\/v2\/pages\/1035' data-formid='35' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_35' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_35_61\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_35_61'>Phone<\/label><div class='gfield_description' id='gfield_description_35_61'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_61' id='input_35_61' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_35_44\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Current membership fees for are listed below. The fees below are per person, based on each individual\u2019s affiliation to the College. Dependents under age 18 must be added to the membership of their parent or guardian.<\/p>\n<table width='100%' id=\"sig\" cellspacing='5' cellpadding='5' border=1 px style=\"margin:0;padding:0;\">\n<tr>\n<th>College Affiliation<\/th>\n<th>1 year<\/th>\n<th>6 month<\/th>\n<th>3 month<\/th>\n<\/tr>\n<tr>\n<td>Employee, Retiree, Emeritus<\/td>\n<td>Free<\/td>\n<td>Free<\/td>\n<td>Free<\/td>\n<\/tr>\n<tr>\n<td>Spouse or Committed Partner<\/td>\n<td>$150<\/td>\n<td>$100<\/td>\n<td>$50<\/td>\n<\/tr>\n<tr>\n<td>Alumnus<\/td>\n<td>$150<\/td>\n<td>$100<\/td>\n<td>$50<\/td>\n<\/tr>\n<tr>\n<td>Dependent Age 18-25<\/td>\n<td>$150<\/td>\n<td>$100<\/td>\n<td>$50<\/td>\n<\/table><\/div><div id=\"field_35_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf-select gf-select-no-chosen\"  data-field-class=\"gf-select gf-select-no-chosen\" ><label class='gfield_label gform-field-label' for='input_35_19'>Please select the type of St. Olaf community member you are<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_35_19'><span style=\"color:red;font-size:16px\"><b>Your identity and employment status will be verified by St. Olaf before you are allowed access to St. Olaf Recreation Facilities.<\/b><\/span><\/div><div class='ginput_container ginput_container_select'><select name='input_19' id='input_35_19' class='large gfield_select'  aria-describedby=\"gfield_description_35_19\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select College Affiliation<\/option><option value='Employee' >Employee<\/option><option value='Employee Spouse or Committed Partner' >Employee Spouse or Committed Partner<\/option><option value='Retiree or Emeritus' >Retiree or Emeritus<\/option><option value='Retiree or Emeritus Spouse or Committed Partner' >Retiree or Emeritus Spouse or Committed Partner<\/option><option value='Alumnus' >Alumnus<\/option><option value='Alumnus Spouse or Committed Partner' >Alumnus Spouse or Committed Partner<\/option><option value='Dependent Age 18-25' >Dependent Age 18-25<\/option><option value='Kierkegaard Scholar' >Kierkegaard Scholar<\/option><option value='St. Olaf Volunteer [Must need access to Tostrud for Volunteering]' >St. Olaf Volunteer [Must need access to Tostrud for Volunteering]<\/option><\/select><\/div><\/div><div id=\"field_35_52\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-select gf-select-no-chosen\"  data-field-class=\"gf-select gf-select-no-chosen\" ><label class='gfield_label gform-field-label' for='input_35_52'>Which term membership would you like?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_52' id='input_35_52' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='150' >1 year<\/option><option value='100' >6 months<\/option><option value='50' >3 months<\/option><\/select><\/div><\/div><fieldset id=\"field_35_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf-name\"  data-field-class=\"gf-name\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_35_1'>I wish to use the St. Olaf College Athletic\/Recreational Facilities.<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_35_1'>\n                            \n                            <span id='input_35_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_35_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_35_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_35_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_35_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_35_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_35_15\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf-email\"  data-field-class=\"gf-email\" ><label class='gfield_label gform-field-label' for='input_35_15'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_35_15'>Do not use a spouse or parent&#8217;s email address. Use your own.<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_35_15' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_35_15\" \/>\n                        <\/div><\/div><div id=\"field_35_57\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-phone\"  data-field-class=\"gf-phone\" ><label class='gfield_label gform-field-label' for='input_35_57'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_57' id='input_35_57' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_35_47\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-half gw-field-type-date gw-field-dateType-datedropdown gw-field-dateFormat-mdy gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-date gf-date-layout-datedropdown\"  data-field-class=\"gf-date gf-date-layout-datedropdown\" ><legend class='gfield_label gform-field-label' >Birthdate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_35_47' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_35_47_1_container'><label for='input_35_47_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>MM<\/label><select name='input_47[]' id='input_35_47_1'   aria-required='true'  ><option value=''>MM<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_35_47_2_container'><label for='input_35_47_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>DD<\/label><select name='input_47[]' id='input_35_47_2'   aria-required='true'  ><option value=''>DD<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_35_47_3_container'><label for='input_35_47_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>YYYY<\/label><select name='input_47[]' id='input_35_47_3'   aria-required='true'  ><option value=''>YYYY<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_35_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_35_31'>Graduation Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_35_31' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_35_56\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_35_60\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_35_60'>Affiliate Name<\/label><div class='gfield_description' id='gfield_description_35_60'>Person at St. Olaf (Employee, Alum, Emeritus, Retiree) to whom you are related<\/div><div class='ginput_container ginput_container_text'><input name='input_60' id='input_35_60' type='text' value='' class='large'  aria-describedby=\"gfield_description_35_60\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_35_34\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_35_34'>Your Spouse&#039;s Graduation Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_35_34' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_35_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><legend class='gfield_label gform-field-label' >Do you wish to include children in your membership?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_35_22'>Only children up to age 17 may be included on this form.\n\nChildren between the ages of 18-25 must complete their own &#8220;Agreement for Assumption of Risk, Identification, and Consent for Emergency Treatment for St. Olaf College&#8221;. \n\nChildren who are 26 years or older are not permitted to apply a membership. This is inline with the age limits for dependents related to health insurance.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_35_22'>\n\t\t\t<div class='gchoice gchoice_35_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Yes'  id='choice_35_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_35_22_0' id='label_35_22_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_35_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='No' checked='checked' id='choice_35_22_1' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_35_22\"   \/>\n\t\t\t\t\t<label for='choice_35_22_1' id='label_35_22_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_20\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_35_20'>Number of Children<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_20' id='input_35_20' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_35_4\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I wish to include the following children on my membership (up to age 17) for an additional fee.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_35_4'>$50 per child<\/div><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name of Child<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Birthdate<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_4_cell1 gform-grid-col' data-label='Name of Child'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_35_4\" aria-label='Name of Child, Row 1' data-aria-label-template='Name of Child, Row {0}' type='text' name='input_4[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_4_cell2 gform-grid-col' data-label='Birthdate'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_35_4\" aria-label='Birthdate, Row 1' data-aria-label-template='Birthdate, Row {0}' type='text' name='input_4[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_35_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Minor Policy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_35_10'><div class='gchoice gchoice_35_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='I understand that children age 17 and under must be accompanied by a responsible adult while using the facility.'  id='choice_35_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_10_1' id='label_35_10_1' class='gform-field-label gform-field-label--type-inline'>I understand that children age 17 and under must be accompanied by a responsible adult while using the facility.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_5\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b><u>Guidelines:<\/u><\/b><br>\nI have read and agree to abide by the guidelines for the use of the Recreation facilities.  I am medically fit to participate in the activities I will choose to engage in at the Recreation facilities.  I understand that I may use the facilities only at times designated on the recreation program information sheet and that an adult member must accompany children under the age of 18 in the Recreation facilities at all times.  I understand that priority is given to St. Olaf College students, faculty, and staff during open recreation hours.  I understand that if I do not follow the policies and procedures of the Recreation facilities my recreation pass card may be revoked.  St. Olaf has the option of closing areas for special events.  I understand that this Assumption of Risk, Indemnification, Release and Consent for Emergency Treatment is intended to be as broad and inclusive as permitted by the laws of the state of Minnesota and I agree that if any portion is held invalid, the remainder will continue in full legal force and effect.  I further agree that this Agreement shall be governed by the state of Minnesota.<br><br>\n\nI UNDERSTAND THAT I AM BEING ASKED TO READ EACH OF THE FOLLOWING PARAGRAPHS CAREFULLY.  I UNDERSTAND THAT IF I WISH TO DISCUSS ANY OF THE TERMS CONTAINED IN THIS AGREEMENT, I MAY CONTACT THE VICE PRESIDENT\/CFO, AT TELEPHONE NUMBER 507-786-3018.<\/div><div id=\"field_35_6\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b><u>Assumption of Risks:<\/u><\/b><br>\nI understand that physical activity related Recreation facilities use by its very nature, carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. Some of these involve strenuous exertions of strength using various muscle groups, some involve quick movement involving speed and change of direction, and others involve sustained physical activity, which places stress on the cardiovascular system.  The specific risks vary from one activity to another, but in each activity the risks range from:  1) minor injuries such as scratches, bruises, and sprains to 2) major injuries such as fractures, internal injuries, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death.  I understand that the College has advised me to seek the advice of my physician before participating in this activity.  I understand that I have been advised to have health and accident insurance in effect and that no such coverage is provided for me by the College. <b>I KNOW, UNDERSTAND, AND APPRECIATE THE RISKS THAT ARE INHERENT IN THE ABOVE-LISTED PROGRAMS AND ACTIVITIES.  I HEREBY ASSERT THAT MY PARTICIPATION AND THAT OF MY CHILDREN IS VOLUNTARY AND THAT I KNOWINGLY ASSUME ALL SUCH RISKS.<\/b><\/div><fieldset id=\"field_35_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Assumption of Risks Agreement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_35_7'><div class='gchoice gchoice_35_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='I agree to the terms of the &quot;Assumptions of Risk&quot; section above.'  id='choice_35_7_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_7_1' id='label_35_7_1' class='gform-field-label gform-field-label--type-inline'>I agree to the terms of the &#8220;Assumptions of Risk&#8221; section above.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_9\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b><u>Hold Harmless, Indemnity and Release:<\/u><\/b><br>\nIn consideration of permission for me to voluntarily use St. Olaf Recreation facilities today and on all future dates, I, for myself, my heirs, personal representatives or assigns, agree to defend, hold harmless, indemnify and release the Board of Regents of St. Olaf College and their officers, employees, agents, and volunteers, from and against any and all claims, demands, actions, or causes of action of any sort on account of damage to personal property, or personal injury, or death which may result from my participation in the above-listed program.  This release includes claims based on the negligence of the Board of Regents of St. Olaf College, and their officers, employees, agents, and volunteers, but expressly does not include claims based on their intentional misconduct or gross negligence.  <b>I UNDERSTAND THAT BY AGREEING TO THIS CLAUSE I AM RELEASING CLAIMS AND GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE.<\/b><\/div><fieldset id=\"field_35_51\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Hold Harmless, Indemnity, and Release Agreement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_35_51'><div class='gchoice gchoice_35_51_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.1' type='checkbox'  value='I agree to the terms of the &quot;Hold Harmless, Indemnity and Release&quot; section above.'  id='choice_35_51_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_51_1' id='label_35_51_1' class='gform-field-label gform-field-label--type-inline'>I agree to the terms of the &#8220;Hold Harmless, Indemnity and Release&#8221; section above.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_11\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b><u>Consent for Emergency Treatment:<\/u><\/b><br>\nI authorize St. Olaf College and its designated representatives to consent, on my behalf, to any emergency medical\/hospital care or treatment to be rendered that St. Olaf personnel deem necessary for my safety and protection as well as my children.  <b>I AGREE TO BE RESPONSIBLE FOR ALL NECESSARY CHARGES INCURRED BY ANY HOSPITALIZATION OR TREATMENT RENDERED PURSUANT TO THIS AUTHORIZATION.<\/b><\/div><fieldset id=\"field_35_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf-checkbox\"  data-field-class=\"gf-checkbox\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent for Emergency Treatment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_35_12'><div class='gchoice gchoice_35_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='I agree to the terms of the &quot;Consent for Emergency Treatment&quot; section above.'  id='choice_35_12_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_12_1' id='label_35_12_1' class='gform-field-label gform-field-label--type-inline'>I agree to the terms of the &#8220;Consent for Emergency Treatment&#8221; section above.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_53\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b><u>Non-Discrimination Statement:<\/u><\/b><br>\nSt. Olaf College prohibits all forms of unlawful discrimination in any education program or activity that it operates. Individuals may report concerns or questions to the Director of Equal Opportunity. The notice of nondiscrimination is located at <a href=\"https:\/\/wp.stolaf.edu\/nondiscrimination\/\">https:\/\/wp.stolaf.edu\/nondiscrimination\/<\/a><\/div><fieldset id=\"field_35_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><legend class='gfield_label gform-field-label' >Do you have a valid St. Olaf ID or Community REC Card?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_35_41'>If you have a previous photo REC card, please select &#8220;YES&#8221;. That card will be activated, and you will save $25<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_35_41'>\n\t\t\t<div class='gchoice gchoice_35_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='0'  id='choice_35_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_35_41_0' id='label_35_41_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_35_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='25' checked='checked' id='choice_35_41_1' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_35_41\"   \/>\n\t\t\t\t\t<label for='choice_35_41_1' id='label_35_41_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_35_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf-radio\"  data-field-class=\"gf-radio\" ><legend class='gfield_label gform-field-label' >Do you have a current St. Olaf ID or STO Community REC Card?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_35_48'>If you have a previous photo REC card, please select &#8220;YES&#8221;. That card will be activated, and you will save $25<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_35_48'>\n\t\t\t<div class='gchoice gchoice_35_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='0'  id='choice_35_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_35_48_0' id='label_35_48_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_35_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='0' checked='checked' id='choice_35_48_1' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_35_48\"   \/>\n\t\t\t\t\t<label for='choice_35_48_1' id='label_35_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_25\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_35_25'>Total Cost<\/label><div class='ginput_container ginput_container_number'><input name='input_25' id='input_35_25' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_35_29\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b>Payment Information<\/b><br>\nUpon receipt of the signed waiver and paid fees, a Recreation ID card will be processed for you within 5 business days.  This pass is for the exclusive use of the person named on the card.  Those who have already obtained a Recreation ID card from the previous year will have their current card reactivated upon completion of signed waiver and payment.  You will be required to scan your Recreation ID every time you enter the building.<br><br>\n\nYou are required to pay before you are able to access the facilities.  Only online payment will be accepted. After successfully submitting your form, you will receive an invoice via email to complete your payment within 3 business days. <br><br><\/div><div id=\"field_35_36\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf-file\"  data-field-class=\"gf-file\" ><label class='gfield_label gform-field-label' for='input_35_36'>Photo for ID Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_35_36'>Photo Requirements:\n\nPhoto must be JPG and a ratio of 3\/2 (height\/width). i.e. Photo should be portrait orientation, rather than landscape orientation.\n\nMust be a color photo, taken in last 6 months\nUse a clear image of your face. No eyeglasses or face coverings. Use a plain white or off-white background.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input name='input_36' id='input_35_36' type='file' class='large' aria-describedby=\"gfield_upload_rules_35_36 gfield_description_35_36\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_35_36'>Accepted file types: jpg, jpeg, Max. file size: 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_35_36'><\/div> <\/div><\/div><div id=\"field_35_54\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_35_54'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_35_54'>I have read and understand this agreement. I certify that I am at least 18 years old. I understand that my use of the Recreational Facilities is\nvoluntary. I verify that my signing of this agreement was freely and voluntarily given with the full understanding that I am giving up\nrights I may have to legal recourse and assuming personal responsibility that I may not otherwise have in return for permission to participate.<\/div><input type='hidden' value='' name='input_54' id='input_35_54_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_35_54_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><canvas id='input_35_54' width='500' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/wp.stolaf.edu\/recreation\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_35_54_toolbar' style='margin:5px 0;position:relative;height:20px;width:500px;max-width:100%;'><img id = 'input_35_54_resetbutton' 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