2024 Kings Point Pool Registration Form

Kings Point Recreation Club (Kings Point Pool) Registration

Complete the form below to sign up for the 2024 pool passes
First Name*
Last Name*
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date:*

MonthDayYear
Where did you hear about us?

I'm an existing pass holderGoogleSocial MediaReferred by friend/existing pass holder

Are you a veteran or active duty?*

YesNo
Please provide your military ID or other proof of service*

*Please note we will check IDs and issues a refund if deemed fraudulent.
Cancelof
AWESOME, THANK YOU FOR YOUR SERVICE!

At checkout below, please enter coupon code: FGD85
Are you a senior (65+)?*

YesNo
Please provide your ID or other proof of age*

*Please note we will check IDs and issues a refund if deemed fraudulent.
Cancelof
AWESOME, THANK YOU!

At checkout, please enter coupon code: SEN24hLoP

Pool Access - Please write information below for all adult(s) in household (over the age of 18) *must reside at passholder's address*

Pool Access - Please write information below for all children in household (anyone under the age of 18) *must reside at passholder's address

Pool Access - Please list any childcare provider information who will be regularly supervising your children at the pool

Health - Please list name and any relevant health concerns below for each person on your annual pool pass:

In Case of Emergency:*

	Name	Phone Number	Relationship to Family
Emergency Contact 1
Emergency Contact 2

Type a question*

I hereby give my permission for proper medical treatment to be secured (including hospitalization and surgery) for my children and myself, in the event of illness or injury. I certify that I/my children have no medical problems of which I am now aware, except as noted above.

Volunteer and Donations
Will you volunteer 6 or more hours of your time?*

YesNo
I understand KPP is entirely dependent on the generosity of volunteers and financial donations.*

If you are unable to pledge your time, we ask that you please make a donation of at least $75.00 as an alternative way to keep KPP open. Make a donation here today.
Pool Rules
I have read, understood, and accepted*

The Code of Conduct, Pool & Facilities Rules
Waiver and Release of Liability
I have read, understood, and accepted*

The Waiver and Release of Liability policy.
The emergency contact information contained within this policy has been provided above.
Signature*

Clear
Should be Empty:

Kings Point Recreation Club (Kings Point Pool) Registration