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Spring 2024 Request for Fitness Center Membership Form
STEP 1 -
C
omplete the
Non-credit Admissions Application
, IF you have
NEVER
taken a
NON-CREDIT
course at Mesa Community College.
STEP 2 - Complete this Fitness Center Membership Request form and the fitness center staff will begin the process to enroll you in the membership category that you select.
We will notify you via email once we have enrolled you and your next steps for payment.
Please note: By filling out and submitting this form you are agreeing to our
NO REFUND
policy for
Non-credit memberships.
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* Indicates required question
Email
*
Your email
By submitting this form you understand that you are signing up for a fitness center membership. Once submitted, memberships are
NOT REFUNDABLE
. (If you disagree with our terms and have any questions please email us at MCCfitnesscenters@gmail.com)
*
I Agree
I disagree
Last Name
*
Your answer
First Name
*
Your answer
MCC Student ID# or MEID
*
Your answer
Select the membership category that applies to you.
*
Student Member Half Semester #29289, $25 (3/18/24 - 5/24/24)
Community Member Half Semester #29085, $30 (3/18/24 - 5/24/24)
MCCCD Employee Member Half Semester #30055, $12.50 (3/18/24 - 5/24/24)
Silver Sneakers Member, #27728 (1/8/24 - 5/24/24)
PED101FL, #26961 / 2nd 8 week Late Start/ 1credit (3/18/24 - 5/10/24)
For Office Use Only, #32723 (1/8/24 - 5/24/24)
How did you hear about us?
Your answer
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