Alumni Fitness Membership Form - SUNY Niagara

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SUNY Niagara Alumni Association

Alumni Fitness Membership Form

Fitness Membership Form

Step 1 of 2

Last Name*
First Name*
Middle
Maiden Name (if applicable)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of Birth*
MM slash DD slash YYYY
Year graduated*
Major*
Renewed Membership or New Membership*
- Renewed
- New

Contact

A woman with short brown hair, wearing a black blazer over a pink and white striped shirt, smiles at the camera against a blue background.

Barbara DeSimone

Assistant Vice President of Institutional Advancement

Email: desimone@niagaracc.suny.edu

Phone: 716-614-5904

A woman with long brown hair wearing a brown blouse with white spots, smiling in front of a blue gradient background.

Courtney Helinski

Director of Development

Email: chelinski@niagaracc.suny.edu

Phone: 716-614-6231