2024 Pool Application
Your application must be fully completed in order for your membership to be approved. If a space does not pertain to you please put N/A in the designated area to move forward with the application. If a date is required and does not pertain to you please put the date of the application.
Membership Type
Select Your Aristocrat Membership Type
*
Single - $375
Couple - $475
Family of Three -$525
Family of Four - $575
Additional Children - $25 each (Must live in the same household)
*
1
2
3
4
No additional children
Babysitter - $150 (No guest privileges)
*
Yes, we have a babysitter!
No, we do not have a babysitter!
Applicant Information
Applicant Name
*
First Name
Last Name
Date of Application
*
-
Month
-
Day
Year
Date
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Spouse Information
Please fill this out entirely if it pertains to your membership.
Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Children Information
If under 24 years of age
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Children Information
If under 24 years of age
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Children Information
If under 24 years of age
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Children Information
If under 24 years of age
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Babysitter Information
Must be sixteen years or older
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Phone Number
Please enter a valid phone number.
Emergency Contact
Name of relative not residing with you
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Relationship
*
Terms & Conditions
Pool Membership
Signature of Applicant
*
Date
*
-
Month
-
Day
Year
Date
Signature of Spouse
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: