Adult Membership Form

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Adult Membership Form

Please fill out all sections of this form to complete the member onboarding process for adults.

Email *

First Name: *

Last Name: *

Date of Birth: *

YYYY

Home Address: *

(i.e. 1234 My Street, Detroit, MI 48221)

Member Phone Number: *

Would you like to know more about Johnson Recreation Center activities? Yes

Yes. Please add me to the PARC mailing list. (exclusively used for event scheduling)

No thank you

Release and Indemnity Agreement. Yes *

By checking this box I consent to the above statement

Required

Media Statement of Consent. *

I understand that all images in which I (or my child) participate, including film, photographic prints, digital files or video are the exclusive property of the University of Detroit Jesuit High School and Academy, a Michigan non-profit corporation, and I grant unrestricted right to copyright, publish and re-publish the images.

By checking this box I consent to the above statement

Required

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