Resident Household Registration

$425.00

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.

You may also fill out and mail in the Resident Household Membership Form.

The $25.00 late fee for registering after May 12th has automatically been added to the membership.

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

No Late Fee Please

If you are you registering after May 12th, 2023 and want to forfeit your guest pass(es) instead of paying a late fee, check here:

No Late Fee Please (–$25.00)

Category: Memberships