Dolores Dore Eccles Health, Wellness and Athletic Center Membership Agreement

Please read the Terms and Conditions for the Dolores Dore Eccles Health, Wellness, and Athletic Center before filling out this form.

The asterisk ( * ) indicates a required field.

Emergency Contact Information

(Emergency contact information is specific for emergencies in the Dolores Dore Eccles Health, Wellness, and Athletic Center and is not campus wide.)

IMPORTANT

* I have read the membership agreement linked above and agree to its terms and conditions. I further agree to abide by all College, Department, and Health, Wellness and Athletic Center policies, rules and guidelines.
I have read and agree.