2023 Pool Registration

2023 Season Swimming Pool

Registration
Applicant Name

First NameLast Name
Applicant Email Address
example@example.com
Applicant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

I am a
LaCasa Resident

Pool Application
Apartment Number
Current FOB Number
LaCiudadela Resident

Pool Application
Apartment Number
Do You Have a FOB
Current FOB Number
LaCiudadela Commercial Tenant

Pool Application
Your Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Title or Position
LaCiudadela Business Name
Your Supervisor's Name

First NameLast Name
LaCasa Commercial Tenant

Pool Application
Your Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
LaCasa Business Name
Your Title or Position
Your Supervisor's Name

First NameLast Name

Review Terms and Conditions - Revisar términos y condiciones
Choose a Language - Elige tu idioma

Reglas y regulaciones de la piscina

Forma de Relevo y exención por uso de la piscina

Pool Rules and Regulations

Swimming Pool Waiver and Release of Liability

Pool Membership and FOB Activation

Pool Membership Fee. Valid through 12/31/2023

Pool Membership Fee

Valid through 12/31/2023

$250.00

FOB Activation Fee. Includes FOB and Activation

FOB Activation Fee

Includes FOB and Activation

$50.00

Subtotal

Tax

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Charges will not be processed until your application is approved. Please allow 2-3 business days.

Los cargos no se procesarán hasta que se apruebe su solicitud. Por favor permita 2-3 días hábiles.
Please verify that you are human

Signature
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