Chesapeake, VA · City of Chesapeake
Community Center Membership Application
Residents use this application to request a Chesapeake community center membership by choosing a membership type and providing contact information and signatures.
What this form is
This application is for people seeking a community center membership, including youth, adults, seniors, and visitors purchasing a one-day pass. It collects contact and emergency information and includes participation waivers, photo consent, and agreement to follow community center rules. A parent or guardian must sign for members under 18; Part II is for youth fitness room memberships when supervision transfers to another adult member.
Who needs it
Anyone seeking a community center membership, including a parent or guardian applying for a member under 18, should complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the member and, when required, parent or guardian sign and date it, with no sworn or notarized attachment stated.
How to submit this form
- 1
Download The Application
Download the Community Center Membership Application PDF.
- 2
Complete The Application
Choose a membership type and fill in the member's contact, emergency contact, and other requested information.
- 3
Gather Any Attachments
The form does not identify any attachments. Complete Part II if applicable for a youth fitness room membership with transferred supervision.
- 4
Sign And Date
The member signs and dates the form. A parent or guardian also signs for a member under 18.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who can apply for a community center membership?
- The form offers membership options for youth ages 8–17, adults ages 18–54, seniors ages 55 and up, and a one-day visitor pass.
- Do I need a notary for the Community Center Membership Application?
- No. The member signs and dates the application, and a parent or guardian must also sign for a member under 18. The form states no notarized or sworn attachment is required.
- How do I submit the Community Center Membership Application?
- Submit it to the city department named on the form; check the city website for current contact details.
- When is Part II of the application needed?
- Part II is for youth fitness room memberships when a parent wants to transfer supervision of the child to another adult member. It includes signatures from the parent or guardian and supervising person.
Need something notarized?
This Community Center Membership Application doesn’t need a notary — but if you have another Chesapeake form that does, a commissioned online notary can help.
