SHAPE VT Membership Form

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Thank you for your interest in joining SHAPE VT. Look for member-only discounts throughout the schoolyear.

Please note, new for 2023: The membership year lasts from September 1st through August 31st, regardless of when a membership is purchased.

Please do the following;

1) Print a copy of this form

2) Complete all of the questions

3) Mail a copy of this form along with your payment to:

Dr. Lisa Pleban

Department of Health, Human Movement, and Sport
VTSU - Castleton

190 University Drive

Castleton, VT 05735

PAYMENT INFORMATION
We are only accepting payment by cash or checks. (credit card transactions to return fall 2023)

Make checks payable to SHAPE VT

memberships will be valid until the beginning of the 2024 school year (August 31, 2024)

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