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MEMBERSHIP APPLICATION

 

EACH MEMBER WILL RECEIVE A ROCKETOWN MEMBERSHIP CARD, WHICH WILL BE USED FOR SIGNING IN, KEEPING TRACK OF MEAL PLANS, AND EARNING/REDEEMING POINTS FOR ROCKETOWN REWARDS BY CHECKING INTO DIFFERENT ACTIVITIES AND EVENTS.

THE INFORMATION THAT YOU ARE PROVIDING ON THIS FORM WILL ONLY BE USED FOR RECORDKEEPING AND GENERATING ANONYMOUS REPORTS. NO PERSONAL INFORMATION WILL BE SHARED WITH ANY OUTSIDE GROUP OR PERSON.

 

  • * IF YOU CHECKED ANY OF THESE BOXES, PLEASE GET THE BACK OF THIS PAPER COMPLETED AND SIGNED BY A PARENT/GUARDIAN.

 PLEASE PRINT OUT THE NEXT PAGE AND BRING IT ON YOUR NEXT VISIT TO ROCKETOWN WITH THE FIELDS FILLED IN