GWRA 2024 Membership Application

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

2024 Pool Membership Application

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

Single Membership $175 + $6 Square fee =$181.00

2 Adults + 1-4 Children $375 + $6 Square fee =$381.00

2 Adults + 5 Children $410 + $6 Square fee =$416.00

2 Adults + 6 Children $445 + $6 Square fee =$451.00

2 Adults + 7 Children $480 + $6 Square fee =$486.00

Single Parent + 1 Child $210 + $6 Square fee =$216.00

Single Parent + 2 Children $245 + $6 Square fee= $251.00

Total $0.00

Primary Member/Contact*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
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.
- Single Adult/Gaurdian + Child: Use this section to list up to two (2) 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.
Should be Empty:

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