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Elk River Senior Activity Center Membership Form <br />January 1, 2022 to December 31, 2022 <br /> Annual Rate: Elk River City Resident Discount Rate: <br />__________Individual $37/year __________Individual $26/year <br />__________Dual $51/year __________Dual $37/year <br />Your membership gives you access to the <br />Senior Activity Center at the Furniture and <br />Things Community Event Center. <br />Amenities include: <br />• Billiards <br />• Coffee Lounge with free coffee <br />• Computer Usage <br />• Puzzles <br />• Lending Library <br />• Card and Game Playing <br />• Socializing in the Fireside Lounge <br />• TV viewing <br />Your membership also includes the ability to participate in <br />the following ongoing groups: <br /> <br />• Cards (500, Bridge, Smear, Hand and Foot, Cribbage) <br />• Fitness Classes <br />• Sewing/Knitting <br />• Woodcarving <br />• New ongoing groups as they are formed <br />Members receive the monthly newsletter mailed to their homes, discount on trips, special events, specialty classes, <br />and presentations. <br /> Please fill this out completely. <br />1)Member Name:____________________________________Date of Birth:____________________________ <br /> Email:____________________________________________Phone:_________________________________ <br />2)Member Name:____________________________________Date of Birth:____________________________ <br />Email_____________________________________________Phone:_________________________________ <br />Address:__________________________________________________________________________________ <br />City/State/Zip:____________________________________________________________________________ <br />By signing I hereby acknowledge that I have read, understand, and will abide by the policies listed in the <br />Participant Handbook. <br />_____________________________________ _________________ <br />Signature Date <br />_____________________________________ _________________ <br />Signature Date <br />Bring this form to: <br />Furniture and Things Community <br />Event Center <br />1000 School Street <br />Elk River, MN 55330 <br />Day passes may be purchased for $5 which <br />will give you access to the listed amenities for the <br />day the pass is purchased.