The Maryland-National Capital Park and Planning Commission

M-NCPPC RETIREE PASSPORT TO WELLNESS MEMBERSHIP CREATION FORM

This information will be used to set up your Passport to Wellness membership. Please note this program is not open to family members or friends.
  • A registration receipt will be mailed or faxed to you.
  • Visit any participating Prince George's County center with this receipt.
Page 1 of 1
First Name:
Last Name:
Employee ID:
Birth Date:
Pick date
Email Address:
Full Home Address:
Home Phone:
 
Cell Phone:
 
ADA Accomodations:
Yes
No
If yes, identify disability:
SMARTlink Barcode Number:
 

Memberships are available for one year and must be renewed upon expiration.

The Fairland Sports and Aquatics Complex (FSAC) and The Sports and Learning Complex (PGSLC) Fitness Centers are currently included in this program. Participants may use the pool at FSAC and the pool and track for walking at PGSLC. Please be sure to call for the individual centers for their hours of operation.

For more information, contact 
Katrina Williams at at 301-446-6867 or email Katrina.Williams@pgparks.com