Port Byron CSD Fitness Center
Membership Application
Email address *
Fitness Center Rates
Membership Type *
Full Name *
Your answer
Age *
Your answer
Gender *
Address *
Your answer
Phone/Cell Phone Number *
Your answer
Employer *
Your answer
Emergency Contact Name and Phone *
Your answer
I have reviewed and fully understand the Fitness Center information provided to me including expected member conduct, hours of operation, membership eligibility and fee and payment information. I accept the terms and conditions of membership in the fitness center. *
Required
For Family Membership List Additional Members
Your answer
Fitness Center Conduct
Acknowledge *
Required
Waiver
Acknowledge *
Required
Submit
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