Glenpool Membership Application

Glenpool Club

Membership Application
Today's Date:

MonthDayYear
Date
Before submitting this application, please read the by-laws and pool rules to make sure that you understand all of your responsibilities for purchasing bonds and maintaining part ownership in the pool. You can review all of this at www.glenpoolclub.org. If you have further questions you may contact a board member at glenpoolclub@gmail.com.
Head(s) of the household:

First NameLast Name
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:*
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email
example@example.com
TYPE MEMBERSHIP*

Family $450Couple $300Single $250Lap $150
Famiily Memberships please list any additional members of the immediate household and their birthdates. Couple Memberships please enter the additional member not listed as Head of Household above. Members must actually reside at the above address, unless designated as the child’s caregiver while at the pool.
First Name Last Name Birthdate
First Name Last Name Birthdate
First Name Last Name Birthdate
When finished, submit the form by clicking the submit button below. You will receive an email confirmation about the status of your application shortly therafter. You will pay the application fee of ($25 if application is dated before April 30th or if dated May 1 and beyond the fee is $50) along with your membership fee upon your first visit to the pool. The application fee is non-refundable.

Thank you!
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Glenpool Club