60 College Avenue | Annapolis, Maryland 21401 | 410-263-2371 | sjc.edu
IGLEHART HALL KEYCARD R
EGISTRATION
St. John's College | Annapolis, Maryland
Keycard e
ffective from date of payment received through July 1, 2019
Name:______________________________________________________________________________
Email (for gym-hour updates, renewal reminders, etc.): ___________________________
______ I’d like to
receive gym updates
Affiliation with St. John’s:
___ Undergraduate Alumnus Year: ______ Campus: AN ___ SF ___
___ Graduate Institute Alumnus Year: ______ Campus: AN ___ SF ___
___
Spouse or Partner of Faculty, Staff, or Student
Spouse Name:
______________________
__________
___ Child of Faculty, Staff, or Student
Birthdate:
_____________________
_______________
Parent Name: _____________________
____________
____
Other
Describe:
_____________________________________
___
I acknowledge that I have received and read the Iglehart Hall Admittance Policy, and I
agree to be bound by its terms, including a.) that permission to use this keycard and the
St. John’s College athletic facilities may be revoked at any time at the discretion of the
Athletics and Recreation Coordinator, the Assistant Dean, and/or the Dean, b.) that
keycard holders may bring up to two guests to the gym at any time, but that each guest
must depart the gym with their host. c.) that this keycard must be re-registered each
year, and will turn off on June 30 unless another registration fee is submitted.
___ In addition to the fee for gym access, I would like to donate to the college to support
Student Life, including Athletics. I acknowledge that I am receiving no benefit for this
donation and that the additional amount may be tax deductible.
Amount:
______________________
______________________
Signature: ______________________
________________________________ Date: ____________
Parent Signature: _______________________________________________ Date: ____________
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FOR ADMIN USE ONLY
Amount Received: ______________________ Received by: ____________________
