Westridge Pool Membership Form
This form only needs to be completed by new members who were NOT members in 2019.

Family Membership (2 adults and dependent children living in the same household) - $350+$100=$450

Grandparents Membership (2 adults and up to five grandchildren) - $350+$100=$450

Two Person/Individual Membership (2 adults OR 1 adult and 1 dependent child living in the same household) - $275+$100=$375

A $100.00 volunteer deposit is due in addition to your membership dues. Your payment should include both your membership due plus the $100 volunteer deposit (ex. Family - $350 + $100 vol. deposit = $450). All volunteer deposits will be refunded after the last day of the pool season if the member has completed 4 hours of volunteer work at the pool.

Members 65 years old or older are no longer required to submit a $100 volunteer deposit. However, if the member chooses, they have the option of donating the $100 volunteer deposit to the pool. Please indicate in the memo section of your membership check that you are 65 years old or older.

Prior to the opening of the pool, payment can be mailed to PO Box 24029, Omaha, NE 68124 or click on the link to go to the Buy a Membership page, https://westridgepool.org/membership-information/. You can pay using your Debit or Credit card as well as your PayPal account. There is a $10 convenience fee as this covers the cost of the fees charged by PayPal. When the pool opens for the season, payment can also be made at the pool. We accept cash or checks (make checks payable to Westridge Pool.)

NEW! TRIAL MEMBERSHIP for those who have never been a member or were NOT a member of Westridge pool in 2019.

Family and Grandparent Memberships - $300 (No volunteer deposit due)

Two Person Membership - $225 (No volunteer deposit due)

Due to COVID-19 the board is looking into refund option depending on when the pool opens for 2020.
Email address *
First and Last Name of Adult 1 *
First and Last Name of Adult 2 *
Mark NA if there is not a second adult
Address *
Main Phone Number for Adult 1 (XXX)XXX-XXXX *
Main Phone Number for Adult 2 (XXX)XXX-XXXX *
Mark NA if there is not a second phone number
Primary email address for adult 2 *
Mark NA if there is not a second email address
Emergency Contact Name (an adult not listed on the membership form) *
Emergency Contact Primary Phone Number (an adult not listed on the membership form) *
Name of dependent child 1 *
Mark NA if you are not adding a child to your membership
Age of dependent child 1 *
Mark NA if you are not adding a child to your membership
Name of dependent child 2
Age of dependent child 2
Name of dependent child 3
Age of dependent child 3
Name of dependent child 4
Age of dependent child 4
Name of dependent child 5
Age of dependent child 5
Name of dependent child 6
Age of dependent child 6
Name of dependent child 7
Age of dependent child 7
I, the undersigned, hereby agree to discharge and hold harmless the association, officers, employees and members of Westridge Pool Association operations from all losses and damage that may occur as a pass holder of the pool. I understand this is a swimming pool facility and that certain dangers can be incurred as a user of these types of facilities. *
Digital Signature
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