Tiger Fitness Center Membership Form 2024

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If you would prefer to print off a form to fill out and return here is the link: https://5il.co/29m0p
REQUIRED payment information is at the bottom of this form.

Questions, comments or problems? Contact Elizabeth eromeiser@usd108.org or 785-325-2261x3

$25/year for applicants who live within the USD 108 District Boundaries. $50/year for applicants who do NOT live within the USD 108 District Boundaries.

Here is a link to the district boundaries. The USD 108 Boundary line is a thick red line. https://core-docs.s3.amazonaws.com/documents/asset/uploaded_file/113945/USD_108_District_Boundaries.pdf

Do you live within the USD 108 District Boundaries? *

Yes - I agree to pay $25 for access to the Tiger Fitness Center for 2024.

No - I agree to pay $50 for access to the Tiger Fitness Center for 2024.

I am a staff member of USD 108. My family and I are exempt from the yearly fee

I am a student at USD 108 and am 18+ years of age. I am exempt from the fee.

Name *

Phone number *

Can we text this phone number? *

Yes

Email *

Address (ie, 123 Main St, Washington) *

Please list all family members who might use this fitness facility. For the purpose of this form a Family Membership covers all members of a family living under the same roof, college age and under.

Washington County USD 108 Fitness Room Rules

By checking this box and typing my name below, I am electronically signing this consent form and agree to abide by the above rules as well as any additional rules that might be posted in the fitness room. *

I accept

Required

Please type your name. *

PAYMENT: **You can pay with cash or check (made out to USD 108) by bringing it, or mailing it, to USD 108 District Office, 101 West College St, Washington, KS 66968. **If you want to pay electronically (credit, debit, e-check) you can access this link: https://payments.efundsforschools.com/v3/districts/56277/ and select "Pay for Tiger Fitness Center Fees" You can continue as a Guest or use your current account if you already have an account set up with us. **You can also pay electronically at the District Office with Elizabeth. ***IF YOU PAY ELECTRONICALLY you will have to pay a surcharge that will be figured at check out.** We need to know how you will pay so we can look for the payment. Once we receive your payment you will be given the code and a set of the rules. If you pay electronically or by mail this will be in an email. *

I plan on stopping by the District Office at 101 W. College Street to pay

I will put my check in the mail and send it to USD 108, 101 W. College St, Washington, KS 66968

I plan to pay electronically

I am exempt from payment (student or staff)

Other:

Submit

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