PAYPAL, CREDIT, DEBIT - Membership Registration Form

2025-26 Membership Registration

$35.00 September 1, 2025 - August 31, 2026
If you are paying by PAYPAL, CREDIT CARD or DEBIT CARD, continue filling out this form.
If you are paying by CHECK fill out this form:

https://form.jotform.com/251595816419164
The information you provide will not be shared. It will only be used for Campus Club announcements and invitations.*

RenewalNew Member
If you are new to us, please let us know how you learned about Campus Club at Cornell
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityZip code

Postal / Zip Code
E-mail*
Do not use @twcny.rr.com
Phone Number*
Photos - Please let your Activity Group leader know if you don’t want to be in photos of your activity group.

If you are attending events open to all Club members, such as the Open House, Winter Social, and June Social, etc., please avoid being in the group photos if you don't want your photo on our website.
Liability waiver
By becoming a member of the Campus Club at Cornell (Club) I hereby agree to waive and hold harmless any liability against the Club, its Board and members and Cornell University for any bodily injury to myself or property damages I may incur, unless such injury or property damage results from the acts or omissions of the Club, its Board and members or Cornell University.
I agree with the Liability waiver above*

Yes
Date*

MonthDayYear
Date
Your registration is not completed unless payment is received. *
prevnext( X )
Yearly membership
September 1, 2025 - August 31, 2026

$35.00

Total

$0.00
Payment options*

Paypal / Credit Card / Debit Card

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

2025-26 Membership Registration

Liability waiver