Vanderbilt dayani wellness membership application 2026

1. Click ‘Get Form’ to open the Vanderbilt Dayani Wellness Membership Application in the editor.
2. Begin by entering your name in the designated field at the top of the form. Ensure that it is spelled correctly for accurate processing.
3. Fill in your home and work phone numbers in the respective fields, using the format provided.
4. Complete your mailing address accurately, ensuring all lines are filled for effective communication.
5. Provide your email address and date of birth, following the specified format (month/day/year).
6. Enter your Social Security Number carefully, as this information is crucial for membership verification.
7. List an emergency contact's name and relationship, along with their phone number for immediate access if needed.
8. Indicate how you heard about the Dayani Center in the provided space to help us improve our outreach.
9. Answer whether you or your spouse is a current full-time or retired Vanderbilt faculty/staff member by selecting 'Yes' or 'No.' If 'Yes,' provide additional details as requested.
10. Choose your preferred payment method by circling one of the options listed at the end of the application.

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