2023 Castle Rock Pool Membership

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This is an application for pool membership. We invite you to submit this application and payment. When our membership cap is met, we will notify you and accept wait list applications.

The swim team application is under the swim team tab www.CastleRockCommunityGroup.com

Primary Household Member's LAST Name
*

Primary Household Member's FIRST Name
*

Please list ALL additional household members to be included in this pool membership in the format: (Last, First), (Last, First), (Last, First).....
*

I affirm that all the additional household members listed above reside at the SAME address. *

YES

The total number of individuals listed under the household membership are.... *

Required

Address *

Zip code *

The total payment due for this household membership is.... *

1 member - Single Membership ($325)

2 members - Family Membership ($400)

3 members - Family Membership ($425)

4 members - Family Membership ($450)

5+ members - Family Membership ($475)

Required

I would like to add the following babysitter to my membership for $40. *Babysitters are non-family members who are hired by your family to supervise minor children while using Castle Rock Pool. The $40 should be added to your payment for pool membership.

I would like to pre-purchase the following guest passes for use during the 2023 season. *These prepaid passes can be used on both weekdays and weekends. Regular season guest passes purchased at the door will be $10 for weekends & holidays and $5 for weekdays.

5 passes for $25

10 passes for $50

15 passes for $75

I am interested in helping out Castle Rock Community Group in the following ways (we are 100% volunteer organization).

Pre-season maintenance (ex. weeding, power washing)

Special events (ex. cookouts, glow nights)

Financial donation for facility improvements (add to registration payment)

Pool Sponsorship ($500 to hang a poolside banner)

TOTAL amount to be paid (include membership registration fees, optional babysitter registration fee, optional guess passes fee, and optional donation to CRCG).
*

I will make the following payment arrangement to secure my pool membership upon completion of this form.

*Note the first and last name of the household's primary member when making all forms of payment.

*Include service fee if using PayPal or Venmo.

I will mail a check to 5950 Brahma Rd. Roanoke, VA 24018

Venmo

Paypal

I will pay cash at the pool

Email address *

House hold phone number *

I understand providing a safe and family friendly atmosphere is the main goal of Castle Rock Community Group. I agree that my family will abide by all pool rules and will be held accountable if these conditions aren't followed (pool rules may be found on our website). *

YES

Required

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