2026 Greenbrier Pool Membership

2026 Greenbrier Pool Membership
PRIMARY MEMBER INFORMATION:
Primary Member Name*

First NameLast Name
Primary Member Phone Number*
Primary Member E-mail*
example@example.com
Secondary Member Name

First NameLast Name
Secondary Member Phone Number
Secondary Member E-mail
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will you be adding additional family members to your membership?*

YesNo
ADDITIONAL MEMBER INFORMATION:

1. Must reside in the same household. 2. If not listed, the person will NOT be added to your membership.
Please list FULL NAME & AGE of any additional members.
Will you be adding a Childcare Provider? *

YesNo
CHILDCARE PROVIDER INFORMATION:

For a family membership, a childcare provider may be used to watch children under 14 years of age, and may only attend the pool to watch the child/ren in lieu of parent(s) or guardian(s), NOT in addition to parent(s) or guardian(s). Childcare providerss must be at least 16 years of age. Please see Rules and Regulations for additional information.
Please list FULL NAME & PHONE NUMBER of your childcare team.
How would you like to pay?*

Full/One-Time Payment (A 3.3% processing fee applies to online payments and will appear as "tax" on your receipt.)Mail Check (Please make sure to include the assessment fee with you membership payment. Mail check to: PO Box 4184, Charleston, WV 25364)Payment Plan - Please send email to greenbrierpoolwv.com or a private message thru Facebook. **Must be paid in full prior to season opening**

Membership Options*

2026 BF Single Membership (Single Adult, Age 18-65)$400 Membership Fee

$400.00 Quantity

2026 Family Membership (Returning Families) $550 Membership Fee

$550.00 Quantity

2026 Empty Nest (2 Adults, No Children)$475 Membership Fee

$475.00 Quantity

2026 Single Senior Membership (Single Adult Over 65)$385 Membership Fee

$385.00 Quantity

2026 NEW Family Membership $500 Membership Fee

$500.00 Quantity

2026 Annual AssessmentMUST BE ADDED TO ALL MEMBERSHIPS

$100.00 Quantity

Enter coupon

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Greenbrier Pool is a private, members-only club. All membership applications, whether new or returning, are subject to approval by the Board of Directors. The Board of Directors reserves the right to deny and/or revoke membership due to material misrepresentations in the application, violations of the Pool’s Rules and Regulations, or conduct deemed unacceptable by the Board of Directors and/or the pool membership.

I hereby certify that all information provided in this application is true and accurate. I understand that any misrepresentation may result in denial and/or revocation of membership at Greenbrier Pool. By my signature, I acknowledge that I have reviewed, understand, and agree to abide by all Rules and Regulations of Greenbrier Pool, and I understand that my membership may be denied and/or revoked as stated above.
Signature*

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2026 Greenbrier Pool Membership

PRIMARY MEMBER INFORMATION:

ADDITIONAL MEMBER INFORMATION:

CHILDCARE PROVIDER INFORMATION:

Payment Methods