Community Recreation Services Membership : Red River College Polytechnic: Campus Well-Being

First Name *

Last Name *

Graduate from RRC Polytech? *

Yes, I graduated from RRC Polytech

No, I did not graduate from RRC Polytech

If you graduated from RRC Polytech then you maybe eligible for an alumni rate, please review the alumni category and fill out the alumni application form.

Have you ever been a student or taken a course at RRC Polytech? *

Yes

No

If you graduated from RRC Polytech or successfully completed a course then you maybe eligible for an alumni rate, please review the alumni category and fill out the alumni application form.

Date of Birth *

We require your date of birth in creating your record in our system to ensure we do not duplicate records.

Address *

Address

City

State/Province

Zip/Postal

Email *

Daytime Phone *

Primary Facility *

Exchange District Campus

Notre Dame Campus

Which facility do you anticipate will be the main fitness facility that you will use?

Membership Length *

4-month Community for $129

12-month Community for $258

Student Number

Campus Well-Being

Community Recreation Services Membership

Contact Information