UChicago Recreational Facilities Membership Interest Form
Please complete this form in its entirety to initiate potential access to the University of Chicago athletic facilities.  You will be contacted via e-mail for further steps to initiate membership.  Completion of this form does not guarantee access to the facilities.

For questions or issues, please contact Jacquie Vinje (vinje@uchicago.edu).
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Desired Username (CNetID, if applicable) *
Email *
Phone *
Street Address *
City *
State *
Zip *
Membership Category
Clear selection
If a spouse or civil union partner, please list name of UChicago spouse/civil union partner here:
If Child 13-17 or Child 18-22 was selected above, please list affiliated parent/guardian below (must be child of UChicago faculty, staff, student, alumni, or a registered Lab School student to be eligible):
If you are an Affiliate of UChicago (faculty, staff, student, or alumni) and would like to add a complimentary membership for children age 12 and under, please list their names and dates of birth below.
Membership Registration
You will eventually receive an email with instructions on how to create your online account profile. Once created, you will be able to register and purchase membership via an online portal.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy