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Parent/Legal Guardian Permission Agreement

This form to be completed by the parent/legal guardian of a non-member minor brought to Life Time by a supervising adult.

(Supervising adult/member must be at least 18 years old, stay on site, and may not check another person's child into the Child Center or Kids Academy)

Parent/Legal Guardian Information

Parent/Legal Guardian of Minor Child(ren) (person completing this form)

Supervising Adult / Accompanying Member Information

First Name
Last Name
This will help expedite club check-in. If unknown, please type "unknown" in the box above.

Club Visit Information

Type of Agreement*
Date of Visit
Start Date of Agreement
Expiration Date of Agreement

REQUEST FOR ADMISSION OF CHILDREN. I hereby request that Life Time admit onto its premises under the supervision of the aforementioned Supervising Adult each of the following minor child (“Child” or “Children”) of the undersigned Parent or Legal Guardian.

Child's Date of Birth*
Do you need to add another child?*
2nd Child's Date of Birth
Do you need to add a third child?
3rd Child's Date of Birth

Terms and Conditions

Terms and Conditions Acknowledgement*
Use your mouse or finger to draw your signature above