Fox–Only online Membership Registration: Payroll Deduction
(Full Time University Faculty / Staff Only) Deduction amounts below reflect the fee effective 9/1/2013 of $200.00 for the remainder of this membership year (8/31/14). Fox only memberships are available for the 2013-2014 membership year only.

Applicant Name
Last Name:   First Name:   Penn ID Number
(8 large digits)  
Applicant Status:  Faculty/Staff     Spouse/Dependent     Charter Member
Address:
Street:
City:
State:
Zip Code:
 
Work Telephone:
Home Telephone:
E-mail:
Gender:
Male Female
Primary Member's Name (if applicant is Spouse Dependent status, list primary member here)
Last Name: First Name: Penn ID Number
(8 large digits)

By paying for membership through payroll deduction you will continue to be charged unless a written cancellation request is submitted to the Department of Recreation. All cancellation are subject to a $25 fee. Contact membership services for cancellation information. Payroll Deduction cannot be used for Locker Service.

**Payroll deduction is only available to full-time Penn employees. Health System and CHOP employees are not eligible for payroll deduction. Please check below if you are paid weekly or monthly. Deductions for monthly employees will begin with the April 2014 paycheck. The monthly fee will be divided into 5 paychecks. Weekly will be deducted out of your next weekly pay check.

Faculty / Staff Pay Schedule: Weekly ($9.52) Monthly ($40.00)

Spouse Pay Schedule: Weekly ($6.29) Monthly ($26.40)

 


User Agreement/Waiver - By being permitted access to Recreational Facilities, users acknowledge their agreement to the following:
  1. Certain risks of injury are inherent to participation in sport and recreational activities. These types of injuries may be minor or serious and may result from one's own actions, and of others, or a combination of both.
  2. Posted or distributed rules and regulations are designed for the safety and protection of recreational users, who in turn are responsible to abide by these rules and regulations.
  3. Certain activities require a minimum level of health and fitness ability. Recreational users warrant being physically fit to participate in any activities undertaken, and understand a choice to participate brings with it the voluntary assumption of risks of injury, which may arise from participation in these activities.
  4. Recreational users agree that the University of Pennsylvania, its employees and agents shall not be liable for injury to person or loss or damages to personal property arising form, or in any way arising, or in any way resulting from the participation in these activities, unless such injury is caused by the sole negligence of the University, its employees or agents while acting within the scope of their duties, and agree to waive such claims against the University for such injury or loss.
By checking this box, I acknowledge that I have read and understand the User Agreement/Waiver, and Payroll Deduction Procedure.