Skip to content West Hills Athletic Club Benefit Eligible Employee and Emeriti/Retiree Membership Application I would like to (required) Start a New Membership Renew My Membership I am a (required) Faculty/Staff Member Emeriti/Retiree Membership Details Employee membership options Option 1 (Monday-Friday, 11 a.m.-2 p.m. and 4:30-6:30 p.m.) Option 2 (Monday-Friday, 5 a.m.-5 p.m.) Full Access Option (if you are not renewing, please contact the membership office (269) 387-0410.) Retiree membership options Option 1 (Monday-Friday, 5 a.m.-6:30 p.m.) Full Access Option (if you are not renewing, please contact the membership office (269) 387-0410.) First Name (required) Last Name (required) Birthday (required) What is your birthday date. Birthday: Year (required) Year19251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Birthday: Month (required) MonthJanFebMarAprMayJunJulAugSepOctNovDec Birthday: Day (required) Day12345678910111213141516171819202122232425262728293031 Address (required) City (required) Zip (required) Email Address (required) Phone (###) ###-#### Select the check box below if you would like to add your spouse to your membership. Spouse I would like to add my spouse to my membership. Spouse's First Name Spouse's Last Name Spouse's Birthday Spouse's Birthday: Year Year19251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Spouse's Birthday: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Spouse's Birthday: Day Day12345678910111213141516171819202122232425262728293031 Terms and conditions Terms and conditions (required) I have read and understand the West Hills Athletic Club's terms and conditions. Important tax information for employeesI hereby authorize the payroll department to deduct taxes from my paycheck. I understand this agreement is non-revocable and cannot be refunded. I understand that $150 or $270 (depending on my chosen option) will be reported as extra income, and I will be taxed on this amount.Please note Option 1 is free to retirees and their spouses. Comments Submit Leave this field blank
