Gym Membership Recreation Center – Membership Application Full Name Address City State Zip Phone Email Larchwood Residents Single Membership - $50Family Membership - $150 Non-Larchwood Residents Single Senior Citizen Membership - $125Family Senior Citizen Membership - $200Single Membership - $240Family Membership - $360 If family membership, list all household members and dates of birth Agreement The Larchwood City Council is responsible for interpreting and enforcing rules and regulations. Use of the facility is at your own risk. Informed Consent & Release of Liability I agree to the terms and release of liability. Signature (Type Full Name) Date Please visit City Hall to complete payment and pick up your key fob(s). 909 Broadway Street Larchwood, IA 51241 Phone: 712-477-2366 Download Rec Membership Form
