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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
).
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First Name
*
Your answer
Last Name
*
Your answer
Desired Username (CNetID, if applicable)
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Membership Category
Faculty/Staff
Faculty/Staff Spouse or Civil Union Partner
Seminary Student
Faculty Emeriti, Retired Faculty/Staff
Faculty Emeriti, Retired Faculty/Staff Spouse or Civil Union Partner
Student Spouse or Civil Union Partner
Lab School Parent
Post Doc
Post Doc Spouse or Civil Union Partner
Alumni
Alumni Spouse or Civil Union Partner
Child 18-22
Child 13-17
UCPD
Plus One
Community
Other:
Clear selection
If a spouse or civil union partner, please list name of UChicago spouse/civil union partner here:
Your answer
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):
Your answer
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.
Your answer
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.
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