Membership Application

Enrollment Information

Member Information


Member Demographics

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Log-in Information

Please create a user name and password so that you can access your account.

Activity Reminder Contact Information

Please list the best number and email to send reminders to ensure members know their upcoming activities.  It must be a line that is monitored by a person.

Current Living Arrangements

Guardian Information

Medical Information

Social/Community Interaction

Please make sure that the person filling out this series of questions knows the applicant well. The accuracy of this information is important to meet the applicant’s needs while attending Franklin County Recreation.

Please fax the ISP/BSP to 614-607-7825 or email it to Attn: Carla Stokes.

Additional Contact Information