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Employee Use of Facilities Form

Passes and garden plots must be requested annually. If you have already signed up for fitness facility memberships, no information is required.

Contact Julie at 701-222-6455 or email her with questions.

Employee Use of Facilities Form

This field is for validation purposes and should be left unchanged.
Employee Name(Required)
Fitness Facilities Membership for BSC Aquatic & Wellness Center and Capital Racquet & Fitness Center
Only complete this if you do NOT have fitness facility memberships.
Employee Name
Spouse Name
Children('s) Name(s)
 
Outdoor Pool Pass for Elks, Hillside with Waterslide, and Wachter
If you had a pass last year, use the same pass card. If you didn't have a pass last year, stop at the BPRD office to get photos taken of everyone with a pass.
Employee Name
Spouse Name
Children('s) Name(s)
 
Additional Facility Passes
This is designed for spouses or children that may use a facility such as Fore Seasons Center without the BPRD employee present. Full-time employees use their photo IDs for access.
Spouse Name
Children('s) Name(s)
 
My family is interested in plots at one of BPRD's community gardens.
Golf Season Pass for Riverwood, Tom O'Leary, and Pebble Creek
Employee Name
Spouse Name
Children('s) Name(s)
 
If you had a golf season pass last year, this information it not required. If you did NOT have a pass, type the name, address, cell phone, and email for each member of your family getting a pass this year.
College-Age Children
If you have children between the ages of 19 and 25 wishing to have these benefits, please verify that they are attending a college, university or vocational school on a full-time basis.
Child's Name
Write "Yes" if attending school full-time.
 
Participant Waiver(Required)
Employee Name(Required)
Date(Required)