Employee

Printable Employee Membership Form

Employees of UNMC/The Nebraska Medical Center/UNMC Physcians & UNMC alumni and retirees

1 month

(cash only no payroll deduct)

3 months

Payroll Deduct or

Cash or Check Total

6 months

Payroll Deduct or

Cash or Check Total

12 months

Payroll Deduct or

Cash or Check Total

Single Rate

$28.00

$26 per month

$78 total

$22 per month

$132 total

$20 per month

$240 total

Dual Rate

$48.00

$42 per month

$126 total

$38 per month

$228 total

$34 per month

$408 total

Family Rate

$53.00

$48 per month

$144 total

$44 per month

$264 total

$40 per month

$480 total

Retiree Single

$15.00 per month

Retiree Dual

$30.00 per month

Employee Floating Membership

$30.00 per month, payroll deduct or cash/check. This membership gives employee access to both UNMC & The Nebraska Medical Center fitness centers. Available to employees only as a single membership. (students, affiliated, patients and sponsored members are not eligible)

Patients
(Medical clearance required for all patient members)

Printable Patient
Membership Form

Single Rate

$25.00 per month

Dual Rate

$40.00 per month

Campus Patient

& Family

No charge for patients or immediate family members staying at

Lied Transplant Center, Potter House, or Ronald McDonald House.

Student
(An additional $15.00 per month will be added to employee family memberships
for each student 19 years or older.)

Printable Student Membership Form

Printable Student Sponsored Form

Student Sponsored

$15.00 per month

UNMC students cannot sponsor more than one person

U of N Student

$25.00 per month or $5.00 guest fee, no form required

Any University of Nebraska system student (UNL, UNO, UNK, who is not a UNMC student)

Non U of N Student

$25.00 per month or $5.00 guest fee, no form required

Includes Clarkson College students, visiting & summer students

UNMC Graduate

Studies Student

Fund B paid: (either by student or department in which they study) Has student activity

(all non-employee graduate students pay Fund B)

Fund B not paid: Joins under employee rate

(Employees who are also graduate students do not pay Fund B)

Graduated UNMC

Student

Can join as UNMC alumni at the employee rate

Some graduate students may be both an employee & a student. In this case Cheri will need to verify if they have paid Fund B.

Affiliated
(includes: American Red Cross; Clarkson College employees;
Clarkson Health & Wellness Seniors; Community Alliance; Metro Credit Union;
Midwest Eye Care; NE Aids Project & VA Medical Center.)

Printable Affiliated
Membership Form

Single Rate

$30 per month

Dual Rate

$50 per month

Limited - Use
(walking track & locker room use only)

Printable Limited-Use
Membership Form

Single Rate

$10 per month

Passes, Lockers & TOWELS – Cash only (cANNOT BE ADDED TO payroll DEDUCT)

Guest Pass –

full use of facility

$5.00 per visit

Locker Rental

Yearly

$30.00

Sept - Dec

$10.00

Jan - April

$10.00

May - Aug

$10.00

Towel Service

Yearly

$20.00

6 months

$15.00

3 months

$10.00

1 month

$5.00

Membership Renewal

Printable Renewal Membership Form