UNC Wellness Centers Online Enrollment

Together with CSI Spectrum NG, our fitness management software system with high

level data security systems, and Docusign, the industry leading provider of electronic

signatures and contract execution solutions, we have created a secure and convenient

process for you to enroll as a member of UNC Wellness Centers.

During the first several steps of the online enrollment process, you will be asked to

choose either Meadowmont or Northwest Cary as your home site, enter basic demographic

information for yourself and anyone else you are adding to the membership, select your

membership type and enter your billing information. Once you have completed those steps,

we will provide you with a link from DocuSign to complete the necessary paperwork to

secure your membership. The paperwork includes the Membership Terms and Conditions,

Electronic Funds Transfer Authorization, Acknowledge of Receipt of Privacy Practices,

Waiver and Release of Liability and the Physical Activity Readiness Questionnaire. Each

person on the membership will need to click on this link and complete the forms through

DocuSign. If you are adding a child under the age of 18, you will need to complete the forms

for him/her.

Please review the procedures below and use it when you enroll. If you run into any

issues and cannot find the solution in this document, please email us at

wellness@unch.unc.edu and we will get back to you as soon as possible to help you get

enrolled!

Sincerely,

UNC Wellness Centers

Online Enrollment Step-by-step Procedures

1) Click the ‘Join UNC NW Cary’ button.

2) Fill in your name, email address and zip code. Then click ‘Choose Your Location’.

Online account access

to each account will be

available at a later

date. Please disregard

for now and click the

JOIN button to get

started.

3) Choose a location for your membership by selecting the “Choose This Location” button under either

4) Select your membership type. Children can be added to any membership in the next screen. Couple

memberships apply to two adults residing in the same household. For more information on membership types,

visit http://uncwellness.com/membership/membership-plans.

5) Enter in the Main Member’s information: Date of Birth, Emergency Contact and Phone

Number, Address, Phone Number. NOTE: if you are adding more members click the ‘ADD

MEMBER’ button.

6) ADD SUB-MEMBER (skip to next step if you only are enrolling yourself only) Click ‘ADD SUB-

MEMBER’ for each additional member and complete the information for an adult and/or

child(ren). Click ADD when finished entering in the required information.

Don’t forget to add an

email address for the

adult sub-member. For

children, please put the

adult member’s email.

If you are adding a

household member

(adult or child), click

here to add the

individual(s) to your

account.

Click on the calendar icon

to access the calendar and

enter your Date of Birth.

Make sure to click on the

day in the pop up box.

7) When finished entering the Main Member’s information and/or additional members, read

about the 30 Day Guarantee, check the “I Accept” box and click NEXT.

8) In the Payment Summary screen, select the billing method, enter the billing information and click ‘PROCESS’.

IMPORTANT: PLEASE READ – In the Street Address field, simply put your street number. If you enter more than

20 characters in this box, you will receive an error message and won’t be able to proceed.

In the “Street Address”

field, simply put your

street number. If you

enter more than 20

characters in this box, you

will receive an error

message and you won’t be

able to proceed.

9) Click on the link and electronically sign the required documents. Each individual, including children, on

the membership must click on the link below separately and electronically sign the forms. This includes the main adult member, adult sub-

member (if applicable), and any child members (if applicable). NOTE: In order to complete the forms for a child member, please click on

the link again after completing your forms. Enter the name in the Name Field as “Your Name on behalf of Child’s Name” (John Smith on

behalf of Mark Smith). Enter your email address and electronically sign the documents.

10) You will be directed to the DocuSign screen. Enter in your full name and email address and

click ‘Begin Signing’. EACH member, including children, must complete a set of forms. For

children, enter the “YOUR NAME on behalf of CHILD’S NAME” (John Smith on behalf of Tom

Smith).

Enter your Full Name and email

address to get started.

NOTE: For children, put “YOUR

NAME on behalf of CHILD’s

NAME” (John Smith on behalf of

Tom Smith). Click ‘Begin

Signing’ to get started.

Please read if you

are adding a child

(ages 8-17)

membership to

your account.

11) Click ‘Review Document’ to electronically sign the forms.

12) DocuSign PAGE 1: Read through the Membership Terms and Conditions, scroll down to the

bottom of the page and click on the ‘Sign Here’ button at the bottom of Page 1. The ‘Adopt

Your Signature’ button will pop. Select your signature and click ‘Adopt and Sign’. Click the

‘Sign Here’ button at the bottom of Page 1 to add your signature.

13) Once you have added your signature at the bottom of Page 1, the Page 1 box on the right hand of

the screen will turn green indicating that you have completed all required fields for this page.

14) Scroll down to page 2. Check ‘YES’ or ‘NO’ for the UNC employee question. If you (or one of

the adult members on the membership) is an employee of UNC HC, check ‘YES’ and enter

your EID or PID number for verification. The PID box will only appear if you check ‘YES’.

The green highlight and

check mark on Page 1

indicate that all

required fields have

been completed for

this page.

Enter in your PID

(University employee)

or your EID (Hospital

employee) if you are

enrolling for the UNC

Employee membership

discount.

NOTE: All fields outlined in red are REQUIRED

15) Read the PAR-Q information and complete the required fields. Check ‘YES’ or ‘NO’ to each

question. Physician’s information is required if you answered ‘YES’ to any of the questions.

16) Your document has been signed. You have the option to print and/or save the document.

Click ‘X’ in the top right hand corner to close out of the screen.

Enter your

physician’s

contact

information if

you answered

‘YES’ to any of

the questions.

The page 2 box

is green and

has a check

mark

indicating all

required fields

are complete.

This box will pop up once all required fields (indicated by

being outlined in red) on both pages have been completed.

Click ‘Confirm Signing’ to finish.

Click ‘Show Document’ to pull up the

forms you signed. You can print or

save the documents for your

records. We will also send you a final

copy (see below) once we verify,

countersign and complete the

appropriate information.

17) FINAL COPY – UNC Wellness Centers will verify the information, countersign and complete

the membership information and send you a copy for your records within 3 business days. You are

now a member of UNC Wellness Center at Northwest Cary!

We will include your start date, individual dues and

total dues, enrollment fee, 1st

billing date, 1st

billing

total, and the primary member on the account. If the

facility’s opening is delayed, the member’s start date

and 1st

billing date will be adjusted accordingly.