Non-Resident Household Registration

$460.00

Non-resident members reside outside of 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. Price includes a $10 PayPal processing fee.

You may also download, print, fill-out and mail or drop off a registration pdf.
Non-Resident-Membership-Form

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

Nanny’s name, month and year of birth

Returning Member Late Fee

If you are you a returning member registering after (N/A for 2020) and want to keep your guest pass(es), check here:

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