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Recreation Center Membership Registration Form

City of New York Parks & Recreation Membership Registration form New Member _____Renewal _____ NAME DATE OF BIRTH ADDRESS CITY STATE ZIP CODE PHONE ( ) E-MAIL ADDRESS IN CASE OF EMERGENCY PLEASE NOTIFY: NAME RELATIONSHIP PHONE ( ) Available Membership Packages: Please one Adults (Ages 25-61) Seniors (Ages 62+) All Recreation Centers $150/Year _____$75/Six Months _____ Only Rec. Centers without Indoor Pools $100 One Year _____ Only Rec. Centers without Indoor Pools $50 Six Months _____ People with Disabilities All Recreation Centers $25 One Year _____ All Recreation Centers $25 One Year _____ Veterans All Recreation Centers $25 One Year _____ Young Adults (Ages 18-24) All Recreation Centers $25 One Year _____ Youth (Ages 1-17) All Recreation Centers FREE WITH ID _____ Conditions of Membership Entry: Membership cards must be valid and must be scanned at the FRONT DESK before entering a Recreation Center .

Conditions of Membership Entry: Membership Key Tags must be valid and must be scanned at the FRONT DESK before entering a recreation center. A $5.00 fee will be charged to re-issue membership Tags. Programs and Fees: Session fees may apply to Parks instructor-led sessions. Session schedules and rates are subject to change; when possible ...

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