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.