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Please Note: A $10 Annual Membership Fee and Liability Waiver is Required before Memberships are Active
Application Date:
*
mm-dd-yyyy
Membership Type
Individual Membership
Family Membership
Individual - $10/yr
Family (Includes parents and all children in the family under 25 yrs of age) - $40/yr
First Name
*
Middle Initial
Last Name
*
Address
*
Street, City, Zip
Phone
(xxx)XXX-XXXX
Email:
Member Interest:
Pickleball
Terrific Tuesdays
Art Studio Activities
Rent our Space
Ctrl-Click to select all that apply (or if completing on your phone, click on the three dots then select all that apply).
Office Use Only
Payment Received?
Yes - Cash
Yes - Check
No
Liability Waiver Submitted?
Yes
No
Please ensure a Liability Waiver Form is completed.
Membership Number
Activation Date:
Thank you for joining Wenona Rec Center.
We can't wait to play with you!
