What information do I need to complete the application for membership?

The following information must be provided when applying for membership with Impact.

Please have all of the information below available:

  • Personal data for all members.
    • Name, date of birth, and medical history.
  • Primary Member and participating spouse's identification.
    • Social Security numbers.
    • Government-issued ID numbers (e.g., Driver's License).
  • Primary Member contact information.
    • Email address and phone number.