Court-Use Only Non-Resident Household Registration

$100.00

Resident members reside within the Village West and Lexington Green neighborhoods. To determine your exact membership status, please email your address to the Village Green Pool Board via the contact info link on this website and we will let you know.

There is no longer any fee for submitting your registration online.

 

 

 

 

 

 

 

Membership Number (if known)

Primary Member’s Street Address & Zip *

Primary Member’s Phone Number

Primary Member’s Email Address *

Primary Member’s Name *

Primary Member’s Date of Birth (Month/Year) *

2nd member’s name, month and year of birth, and relationship to primary member

Secondary Member’s Email Address

3rd member’s name, month and year of birth, and relationship to primary member

4th member’s name, month and year of birth, and relationship to primary member

5th member’s name, month and year of birth, and relationship to primary member

6th member’s name, month and year of birth, and relationship to primary member

Child Care Provider’s name, month and year of birth

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