Lake Wales Family Recreation Center - Registration

Lets get your membership started. This form is for new members and preexisiting members.
Step #1: Fill out the form below.

Step #2: Visit the Lake Wales Family Recreation Center beginning November 1. Bring proof of identification and verification of address. Your photo will be taken, and you will receive your membership card(s).

Note: New members and preexisiting members must bring form of payment to be added to the system beginning November 1.

First Name*

Last Name*

Date of Birth*

Middle Initial

Nickname

Mailing Address*

City*

State*

Zip Code*

County

Phone Number*

Email*

Send me a copy of my responses

Email address

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