Student Family Member and Dependent Membership Form

* denotes a required field

Please Note:
  • The student(s) sponsoring dependents must be enrolled at GVSU for the semester during which their dependents are purchasing a membershipThe enrolled student(s) do not need to purchase a membership or membership card for themselves. 
  • Student Family/Dependent Membership cards are $25/person/semester.
  • Only one semester can be purchased at a time; membership rates are not eligible to be prorated. 
  • Parking permits are required for parking on the GVSU campus. A permit can be obtained at the GVSU Public Safety Office with a current membership card and driver's license. Parking permits are for Rec Center use only; improper use of permits may result in campus Parking/Traffic fines. 
  • Participants under 14 years of age:
    • Are permitted to utilize the Cardiovascular Fitness Areas and Rec Center Courts only and must be accompanied by an adult at all times.
    • Are prohibited from using any Selectorized or Weight Lifting equipment in all areas of the facility, regardless of adult supervision.
Student Information

Family Members/Dependents




Additional Family Members/Dependents

Family Member or Dependent 1




Family Member or Dependent 2




Family Member or Dependent 3




Family Member or Dependent 4




Family Member or Dependent 5




Family Member or Dependent 6




Family Member or Dependent 7




Family Member or Dependent 8




Family Member or Dependent 9




Family Member or Dependent 10




Emergency Contact Information

Additional Emergency Contact

Terms and Conditions

Please review the Athletic and Recreation Facilities Policies and Guidelines prior to submitting your application:

Athletic and Recreation Facilities Polices & Guidelines - Athletic and Recreation Facilities - Grand Valley State University (gvsu.edu) 

Membership Agreement *

By signing this form, you are agreeing to uphold all Athletic and Recreation Facilities Policies and Guidelines at all times while utilizing any GVSU Athletic and Recreation Facility.

Human Verification *



Page last modified July 3, 2024