Test Membership Application

Membership Application

  • New Members* 50 Registration Fee - Includes members who do not renew within 30 days. Memberships are non-refundable and non-transferable.

  • Please list a name and the person's relationship to you.

  • MM slash DD slash YYYY

  • MM slash DD slash YYYY

  • Please list your child(ren)'s name(s), sex, and date of birth. If not applicable, please write "N/A"

    I agree to abide by the rules and regulations of Commonpoint Queens and affirm that all the information given above is accurate. I understand that certain programs at Commonpoint Queens may involve strenuous physical activity, that an applicant is responsible for being physically fit for such participation, and Commonpoint Queens is not responsible for injury or other adverse health consequences arising from such participation. I give unconditional permission to Commonpoint Queens to photograph me and/or my children, and to use the photographs to publicize Commonpoint Queens activities in newsletters, brochures, program guides, advertisements and for similar not-for-profit purposes. Membership at Commonpoint Queens depends upon acceptance and observance of the Rules and Regulations of this institution and may be suspended or terminated at the discretion of the Commonpoint Queens administration.