Items followed with * are required items and MUST BE filled in.
Name: *
E-mail Address: *
Phone Number: *
Membership Type: FGUPC Youth FGUPC Adult FGUPC Senior FGUPC Household/Family FGUPC Student Community Youth Community Adult Community Senior Community Household/Family Community Student
Payment Preference: Annually by cash or check Semi-annualy by cash or check Quarterly by Cash or Check Monthly by Credit/Debit Card
Signature: * Typing your name into the box above indicates a binding signature. By sending this form, you have read the facility access policy and agree to be bound by its terms and subsequent revisions.
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Physical Address: 6534 Ford Street Baton Rouge, LA 70811 (Near the Corner of Silverleaf Avenue and Mickens Road • Entrance on Ford Street)
Mailing Address: P.O. Box 74343 Baton Rouge, LA 70874
Telephone: 225.354.0808 Fax: 225.354.0805