Platinum Membership Opt-In – Campus Recreation

September 10, 2020

Platinum Membership OPT-IN

Person Requesting Opt-In*
First Name Last Name
Type of Membership*
Address on file for Membership*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone:*
Email:*
Acknowledgement*
- Yes
I have read and understand URI Campus Recreation policies & procedures.