The University of Alabama Locker #
University Recreation Aquatic Center
Locker Reservation Form
1. Member Information: (PLEASE PRINT)
Name: ________________________________________________ CWID #: __________________________
Membership Classiﬁcation: _______________________________ Email: __________________________________
Primary Phone #:__________________________________ Alt. Phone #: _________________________________
2. Locker Reservation Options 3. Location 4. Expiration
One Year $30.00 Men’s LR __________ Women’s LR__________ Jan 1
One Semester $15.00 Men’s Staﬀ LR______ Women’s Staﬀ LR______ May 1
5. Agreement: Please read the following carefully. All questions concerning locker reservations may be directed to
Member Services. The University of Alabama and University Recreation grants to the User permission to use the
Aquatic Center locker indentiﬁed above for a speciﬁed period of time. The user will consent to the following terms
a. All lockers within University Recreation facilities are the property of the University and are subject to applicable
University policies. University Recreation reserves the right to alter the policies governing the use of lockers
with appropriate notice. Misuse of a locker may lead to termination of locker privileges and/or membership.
User is responsible for any and all damage to the locker during the rental period and will be liable for any cost
of repair or replacement.
b. Locker reservations are non-refundable. Any of the following acts or events shall result in the immediate
termination of the permissive use herein granted: (a) non-payment of use fee; (b) expiration of this use
agreement; (c) loss or revocation of privileges for use of facility where the locker is located; (d) misuse or
damage to the locker or facilities and/or violation of University Recreation policies.
c. Your locker reservation will expire on the date provided above. Following the expiration dates, all remaining
contents will, in accordance with established University Recreation rules, be considered abandoned property
and disposed of accordingly. If you do not renew or empty the locker, all contents will be removed. University
Recreation assumes no obligation to store items for you. In order to claim removed locker contents, members
should visit the Member Services oﬃce. A photo ID may be required.
d. University Recreation is not responsible for lost or missing items, either before or after clearance of a locker.
University Recreation will not guarantee the security of the items vacated from lockers. As to any action taken
by University Recreation, the User agrees that the University, its oﬃcers, employees, or agents shall not be
liable for or guilty of any oﬀense of trespass, theft, unauthorized entry, or conversion or personal property.
e. By signing this agreement User acknowledges that she/he has read this agreements and that she/he
understands and accepts the terms and conditions thereof.
Signature: ______________________________________________________ Date: _____/_____/_______
User Renewal Signature: ____________________ ___________________ _________________
OFFICE USE: New: Renewal: Renewal: Renewal:
EXPIRED LOCKER RESERVATION
Locker Reservation Expiration Date: / /
User was Notified:
Primary Phone # called _____________________________ Action___________________________________________
Alternate Phone # Called ____________________________ Action___________________________________________
Email Address _____________________________________ Action___________________________________________
Notice on Locker___________________________________ Action ___________________________________________
Other ____________________________________________ Action ___________________________________________
Date Contents Cleared: Cleared by Whom:
Date User Claimed Contents: Photo ID Verified: