Rec Center Account Registration Form

Rec Center Account Registration Form

Enter your personal account information
(BGSU students, faculty, and staff can log in to MyRec.bgsu.edu using their BGSU username and password and do not need to complete this form.)
Full name of primary account holder:*

First NameLast Name
Date of Birth of primary account holder:*

MonthDayYear
Date
Gender of primary account holder (female or male must be indicated in order to rent a locker):*

FemaleMaleOtherPrefer not to answer
BGSU affiliation of primary account holder:*

BGSU Faculty/StaffCommunity Member - Not Affiliated
Phone:*
Email:*
Home address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account purpose - Please select the program or membership for which you wish to register:

Aquatics/Learn to SwimBirthday PartiesCertification Classes (Lifeguarding, First Aid, CPR)Climbing Wall MembershipFitness/Group Exercise/Personal TrainingPerry Field House Day Use PassesStudent Recreation Center Membership or Day Use PassesOther

Add spouse
Spouse full name:

First NameLast Name
Spouse gender (female or male must be indicated in order to rent a locker):

FemaleMaleOtherPrefer not to answer
Spouse date of birth:

MonthDayYear
Date