MEMBERSHIP INFORMATION Primary Member: ______________________________ License #: ____________________________________

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MEMBERSHIP INFORMATION
Primary Member: ______________________________
License #: ____________________________________
Community / Alumni / Faculty / Staff / Senior Citizen / Seminary
Address: _____________________________________
_____________________________________________
Phone #: _____________________________________
E-mail: ______________________________________
First Additional Member: _______________________
Additional Family Members:
Name
Age
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Services:
Locker / Service / Towel / Locker & Service
Expiration Date: __________________
Emergency Contact: ____________________________
Phone #: _____________________________________
Total Fee Enclosed: ____________________________
All persons using H ope College’s Dow Center must conduct themselves in an appropriate manner at
all times. H ope College will not tolerate profanity, abusive language or conduct, threats, assaults,
fighting, or other inappropriate behavior from persons on College property. The College reserves the
right to revoke a person’s Dow Center Membership for inappropriate behavior and to forbid such a
person from using the Colleg e’s facilities for any purpose.
 I have read the above statement and agree to adhere to the College’s policy.
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