GWRA 2025 Membership Application

Select Membership Type - May only include immediate family members residing full-time in the same household.*

Senior Single (65 & up) $87.50 + $6 Square fee = $93.50

2 Senior Membership (65 & up) $175 + $6 Square fee=$187.00

Single Membership $185 + $6 Square fee =$191.00

2 Adult Membership $370+ $6 Square fee =$376.00

2 Adults + 1-4 Children $394 + $6 Square fee =$400.00

2 Adults + 5 - 7 Children $494 + $6 Square fee =$500.00

Single Parent + up to 2 Children $254 + $6 Square fee =$260.00

Single Parent + 3-4 Children $324 + $6 Square fee= $330.00

Youth Membership $94 + $6 Square fee=$100.00

Limited access Membership. Only available for ages 12-18. Valid during swim team season only, membership will become invalid after the 2025 swim season is complete, or if swimmer becomes eligible for City Meet Champion (whichever comes first) Swimtopia dues must be paid first.

Total $0.00

Credit Card Information

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Primary Member/Contact*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Additional Members (names must be listed on the application to enter the pool)

Family Membership: May only include immediate family members residing full-time in the same household. Exception- Members with children under the age of 12 years old may include ONE family child caregiver in their family membership. This person must be listed by name below and may only use the facility while watching the children. If attending with family unit, a guest fee will be charged.
Single Adult/Guardian + Child: Use this section to list up to the names of each member including the children. Exception- You may include ONE family child caregiver in their family membership. This person must be listed by name below and may only use the facility while watching the children. If attending with family unit, a guest fee will be charged.

This is a fill in the blanks field. Please add appropriate blank fields and text.

Email

example@example.com

Email

example@example.com

Email

example@example.com

Name

First NameLast Name

George Wythe Recreation Association (G.W.R.A.)

Credit Card Information