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Parkway Center Membership

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Membership has its benefits: Discount program fees, mailed monthly newsletters, opportunity to attend all events that are hosted for members, and the discounted rate for the Fitness Room.
Fees:
- Senior Center: $30 per year for renewals, and $35 per year for new members
- Fitness Room and Membership: $80.00 per year for renewals, and $85.00 per year for new members
- Lifetime Membership: $250
Includes security card. All memberships are due one (1) year after joining, and your membership will begin on the 1st day of the month in which you join.
Lunch Program
- 5 Days a week
- Sponsored by Office of the Aging and Continuing Care
- Time: 12:00
- Suggested Donations: $2 for 60+ years old and $8 for under 60
- You must sign up the day before you plan to have lunch

Name*
First Last
Birthday*
MM slash DD slash YYYY
Ethnicity*
- Caucasian
- African-American
- Asian
- HIspanic
- Indian
Address*
Street Address Address Line 2 City State ZIP Code

Phone*
Cell Phone
Email*

Marital Status*
Spouses First Name*
Spouses First Name
Wedding Anniversary Date*
MM slash DD slash YYYY

Did you serve in the military?*
- Yes
- No
Which Branch?*

Emergency Contact*
First Last
Relationship*
Phone*
Doctors Name
First Last
Doctors Phone

Would like to receive the monthly newsletter via email?
- Yes
- No

Code of Conduct*
I read and understand the Code of Conduct for Parkway Center members.
- Yes
*By enrolling as a member of the Parkway Center, I hereby assign rights to photographs taken by PC and authorize the reproduction, copyright, exhibition, broadcast and/or distribution of aid, videotape without limitation for the purpose of advertising and public relations or any other legal use by this agency and/or its funders.