Membership Eligibility Form

Name as listed on your campusrec.umw.edu profile*
First Last
Email Address associated with campusrec.umw.edu profile*
Gender
Eligibility*
UMW Sponsor First & Last Name*
In order to qualify for a guest or secondary membership, we must first link your profile to an eligible UMW member as your sponsor.
UMW/MWC Graduation Year*
UMW Retirement Year*
What department or office do you work for?*
Proof of City Employment*
Proof of city employment by showing a valid city ID badge is required. Please upload a picture of your ID badge.
Max. file size: 5 MB.
Do you need a member ID card?*
- Yes, I need a membership card
- No, I do not need a membership card, I have an EagleONE ID
EagleONE ID Number*
If you have your UMW EagleONE ID, please type the 16-digit number located on the front bottom of this card. We will link this card to your profile once it is created and it can be used as your access card to the UMW gym.
Member Profile Picture*
Please upload a clear, zoomed in photo of your face to be assigned to your profile and printed on your membership card.
Accepted file types: jpg, png, pdf, Max. file size: 5 MB.
Name
This field is for validation purposes and should be left unchanged.

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