Lehigh University Doctoral Student Spouse Taylor Gym Access Form
This form is to be filled out by the spouse of a full-time, funded, Lehigh University doctoral student who lives at the same address. If approved, this will provide you free student access to the Taylor Gym at Lehigh University for as long as your spouse/domestic partner remains registered as a student. Permanent lockers are not included in this agreement. The Lehigh University doctoral student's spouse must have health insurance to be eligible. A Lehigh University liability waiver form will need to be signed at the Graduate Life Office. Once you have filled out this form, please email gradlife@lehigh.edu to make an appointment to have your request processed. You will need to email gradlife@lehigh.edu a clear headshot picture of yourself for your I.D.
Your Last Name *
Your answer
Your First Name *
Your answer
Your and your spouse's address (you must both reside at the same address to be eligible) *
Your answer
Your email address *
Your answer
Do you have health insurance? *
Is your spouse/domestic partner a Lehigh University full-time, funded doctoral student? *
Lehigh University Doctoral Student Last Name (your spouse/domestic partner) *
Your answer
Lehigh University Doctoral Student First Name (your spouse/domestic partner) *
Your answer
Lehigh University Doctoral Student LIN number (your spouse/domestic partner) *
Your answer
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