


Family Membership Application
(Memberships are subsidized through Carter's Crew, Inc. 501(c)(3))
- Family must have a child(ren) that has an official diagnosis/special need
- Annual household income will be taken into consideration during qualification process and may be subject to review through various documentation requests.
I am applying for a family membership at Carter’s Play Place and ensure all information provided on this application is accurate. All members must ensure safety procedures are observed while at Carter’s Play Place. It is the parent / guardian’s responsibility to supervise his/her child(ren) while at Carter’s Play Place. This gym membership shall remain valid for a period of three hundred and sixty five (365) days and reviewed on an annual basis for renewal.