Student Family Member and Dependent Membership Form

* denotes a required field

Your Information
  • Student: Must be enrolled for the semester during which they are purchasing a membership
  • The cost is $20/person/semester for a membership (the enrolled student does NOT need to purchase for themselves as their student ID will grant access to recreational spaces). 
  • Only one semester can be purchased at a time and the membership rate will not be prorated.  
  • Proof of dependency is required for all dependents over the age of 18 for family memberships. To prove dependency, please email a copy of a current student college schedule or a current tax form showing them as your dependent to Nicole Brower at [email protected].
  • Applications will be processed within 2 weeks. Once processed, members will receive an email stating that cards are ready to be picked up or that existing cards have been re-activated.  You will receive a 2-week temporary pass that can be used to gain entry until you receive notification that your cards have been processed.  We do not mail membership cards.  
  • Age requirements of using the facility:
    • 14 years of age & up are permitted to workout alone.
    • 13 years of age and under are not permitted to use equipment, but are permitted to use courts and pool with adult supervision.
  • Pool use is included with memberships dependent on lap swim and open swim availability.
  • Racquetball courts are free with membership before 5 p.m. on weekdays.  Other times there is a $3.00 charge per reservation.
  • The Kelly Family Sport Center is included in memberships dependent on open track and turf times.
  • Membership does NOT include climbing center use.
  • Parking permits are required for parking on the GVSU campus. A permit can be obtained at the GVSU Public Safety Office with a current membership card and driver's license. 
Student Information

Family Members/Dependents


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Additional Family Members/Dependents

Family Member or Dependent 1


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Family Member or Dependent 2


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Family Member or Dependent 3


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Family Member or Dependent 4


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Family Member or Dependent 5


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Family Member or Dependent 6


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Family Member or Dependent 7


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Family Member or Dependent 8


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Family Member or Dependent 9


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Family Member or Dependent 10


Photos should be clear with faces unobstructed.  They do not have to be professional quality, any snapshots will work nicely. 

Human Verification *



Page last modified August 29, 2022