Sports Center Special Pass (Alumni)

Special passes are available to use the athletic facilities for Retiree's.

Please read the rules and regulation of the Ohio Northern Sports Center. You must agree to abide by them in order to receive your Special Pass. The Special Pass is NON-TRANSFERABLE and becomes void at the end of the current school year. A Sports Center Pass is a PRIVILEGE, not a right! Consequently, any disruptive behavior (abusive or obscene language, fighting, facility or equipment destruction, etc.) will be cause for removal from the premise and confiscation of your pass.

Name: *

Spouse's Name:

Address: *

Date:

City, State, and Zip Code: *

Home Phone: *

Year of Graduation: *

Please list below the names and birthdates of Dependent children. Dependent children under the age of 17 must be accompanied by an adult with a valid I.D. Passes will be issued to immediate family members only.

Dependent Child 1 Name:

Dependent Child 1 Birthdate:

Dependent Child 2 Name:

Dependent Child 2 Birthdate:

Dependent Child 3 Name:

Dependent Child 3 Birthdate:

Dependent Child 4 Name:

Dependent Child 4 Birthdate:

Dependent Child 5 Name:

Dependent Child 5 Birthdate:

Dependent Child 6 Name:

Dependent Child 6 Birthdate:

By submitting this form you are electronically signing this agreement:

I/We have read the rules and regulations of the Ohio Northern Sports Center and, if issued a special pass, agree to abide by them or relinquish my/our Special Pass. I/We are aware of the fact that this card is NON-TRANSFERABLE and becomes void at the conclusion of the current school year.

A Sports Center Pass is a privilege not a right! Consequently, any disruptive behavior (abusive or obscene language, fighting, facility or equipment destruction, etc.) will be cause for removal from the premise and confiscation of your pass.

Attachment	Size
Alumni.pdf	70.91 KB

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Sports Center Special Pass (Alumni)

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