Community Center Application Form
Community Center Application Form
Please complete the form below to apply for membership. All information provided will remain confidential.
Personal Information
Name
Date of Birth
Phone Number
Address
Membership Preferences
Preferred Activities
Check all that apply
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Fitness Classes
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Art & Craft Workshops
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Book Club
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Community Events
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Volunteer Opportunities
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Emergency Contact Information
Name
Relationship to Applicant
Phone number
Applicant's Name:
Date:
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