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Membership Form

Please Print and Fill out the following forms. Email ( [email protected] ) or drop them of at the Blaine Senior Center front office.

Membership Form>>

Code of Conduct Form>

Waiver of Liability Form>

BECOME A MEMBER

Become a member of the Blaine Senior Center and start enjoying the countless benefits today.

Membership is only $45.00 for 12 months.  

 


HOW TO BECOME A MEMBER

Come by the Center and take a tour - see the office for details!
 
Call us at 360-332-8040
 

 

Membership Requirements:

 
Age 50+ and Completion & Signature of:
  • Membership Application
  • Code of Conduct
  • Waiver of Liability
  • Physician Release for Cardio &/or Strength Participation (as necessary)
  • Payment of dues