Alumni Registration

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First Name* Example: "Charles"

Last Name* Example: "Smith"

Address*

City*

State*

Zip Code*

Phone Number* Example: "555.555.5555"

Email address* Example: "chuck.smith@example.com"

Birth date*

Graduation year*

Gender*

Emergency Contact First Name* Example: "Charles"

Emergency Contact Last Name* Example: "Smith"

Emergency Contact Phone Number* Example: "555.555.5555"

Registration Option*
One Month ($20)
Three Months ($25)
Six Months ($30)
One Year ($50)
Other (Assigned by Director of MBU Fitness) ($0)

Registration start date

Would you like a parking pass? *
This is recommended for those visiting between 8 a.m. – 4:30 p.m.