Your Name

Your Birth Date

List below all other family individuals (FULL NAME & BIRTHDATE) to be on membership (must all live in the same house). Proof of address will be required for multiple family members on application. (MEMBERS MUST ALL LIVE IN SAME HOUSE AND PROVIDE PROOF OF ADDRESS. ONLY 2 PEOPLE AGE 25+ ON ONE MEMBERSHIP WHO LIVE TOGETHER. 10 DAY PASS, SINGLE AND SENIOR MEMBERSHIPS ARE ONLY FOR ONE PERSON.)

Your Street Address

City

State

Zip Code

Your Best Telephone

Your Best Email Address

Preferred Contact Method (select one)

EmailPhone

How did you hear about us? (new members only)

Select Membership Type

—Please choose an option—SENIOR-65 years of age or older ($320)SINGLE-13 years of age or older ($340)FAMILY-TWO PERSON ($480)FAMILY-THREE PERSON ($560)FAMILY-FOUR PERSON ($580)FAMILY OF 5 OR MORE ($600+$20/per additional family member)10-Day (ONE PERSON) Pass ($160)

*Do not include children 2 years of age and younger in your membership rate, but please include their names and birth dates above. $10 credit card fee will be added. You can add the babysitter pass at checkout.

Membership Agreement

Upon submitting this application form with payment, I agree to the following:

• Any and all membership fees will not be refunded after opening date.

• Any actions taken by a minor are the responsibility of the adult signing party.

• All members listed on this application must live in the same house.

• Any falsification will require IMMEDIATE expulsion without a refund.

Check here to confirm that you have read the club rules and agree to the terms and conditions listed above.

Once you've submitted this application, you will be redirected to a page with payment options. Thank you.

Application is not complete without payment.