Membership Interest Form
APPLICANT #1 INFORMATION (INDIVIDUAL)
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Are you a current Celebration resident? (All members are required to be a Celebration resident.)
*
Please Select
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Date
*
-
Month
-
Day
Year
Date
Assessment - The first step in becoming a member is an at home assessment. Would you like to move forward with scheduling an assessment within the next two weeks? Please select yes or no.
*
Please Select
Yes
No
Membership - Which membership level are you interested in? Please select below.
*
Please Select
Individual/Single (1 person)
Household (2 people)
Single Snowbird (1 person, 4 month minimum)
Household Snowbird (2 people, 4 month minimum)
APPLICANT #2 INFORMATION (HOUSEHOLD)
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Submit
Should be Empty: