STAFF MEMBERSHIP - NUHS WEIGHT ROOM
Please fill out the information below if you wish to receive a Staff membership to the North Union Weight Room.  

Be sure thoroughly read the Weight Room Rules, Waivers, & Release document.  We are working hard to make sure we take care of this facility and want to make sure our members are following the same protocols as our students and staff. 

When finished filling out the information needed, click the green 'SUBMIT' button on the bottom of the form.  Your request will then be submitted to North Union Administration.  If approved, your membership will become activated after payment has been received.  

Staff Membership - Free for staff member and immediate family
Email *
Staff Member First Name (person filling out this form) *
Staff Member Last Name  (person filling out this form) *
Staff Member Cell Phone Number *
Staff Member Email *
How many access cards do you need for yourself and family members (spouse, full time students) *
List of Family Members  
Please list in the following format:
First Name  Last Name  -  Relationship to Person Filling Out This Form
Example:
John Doe - Husband
Joe Doe - Son
Susie Doe - Daughter
 *
I have read the General Rules, Waivers, & Membership Form.  CLICK HERE *
Required
ELECTRONIC SIGNATURE
By providing my electronic signature below, I understand risk and responsibility of becoming a member to the North Union Weight Room for myself and on behalf of my family members.  I/We agree to follow the rules and do my part to take care of the facility and equipment. 
 *
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