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Application

Primary Member Information
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Date of Birth
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Secondary Member Information
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Date of Birth
Emergency Contact Information (One Per Member)
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Terms and Conditions -- Signature Required Below
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‐ Formal leave of absence and sabbaticals (documented verification required)
‐ Changes in medical condition resulting in physical limitations (physician documentation required)
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Date
Refer a Friend Program (New Members Only)—Want up to 2 months FREE? It’s Easy! Here’s how...

Provide us with up to two friends’ names and contact info of who you think would benefit from being a member at the Recreation Center. We’ll contact them on your behalf and offer a free one‐week trial membership. Then, for each friend that ends up joining Drexel Recreation Center, you will receive a free month of membership as part of our ongoing referral program!