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2022 WGRA Waitlist Membership Application
A copy of this application for membership at the WGRA Pool will be emailed to you upon completion.
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* Required
Email
*
Your email
Are you a neighborhood resident of Wellington Green or Kingsgate?
*
Choose
Yes
No
Which best describes you?
*
Choose
2021 WGRA Member
2021 WGRA Waitlist
Lapsed Member
New Member
Select desired 2022 Season Membership Type:
*
HOUSEHOLD (2 Adults and Dependents living in one home): $425.00
SINGLE (21+): $220.00
SENIOR (65+, includes spouse): $220.00
Required
Would you like to add an Extended Hours Membership?
Choose
Yes - For $55, I would like early and after hours access to the pool and will sign the waiver agreement forthcoming.
No, thank you.
Primary Member First Name:
*
Your answer
Primary Member Last Name:
*
Your answer
Primary Member Phone:
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Your answer
Spouse First Name:
Your answer
Spouse Last Name:
Your answer
Spouse Email:
Your answer
Spouse Phone:
Your answer
Street:
*
Your answer
City:
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Your answer
Zip:
*
Your answer
Emergency Contact & Phone:
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Your answer
Dependent 1 Name
Your answer
Dependent 1 Date of Birth
MM
/
DD
/
YYYY
Dependent 2 Name
Your answer
Dependent 2 Date of Birth
MM
/
DD
/
YYYY
Dependent 3 Name
Your answer
Dependent 3 Date of Birth
MM
/
DD
/
YYYY
Dependent 4 Name
Your answer
Dependent 4 Date of Birth
MM
/
DD
/
YYYY
Family Caregiver First Name, Last Name, Phone Number
Your answer
In-Town Guests: may visit up to five times a season with five dollars per guest pass, not to exceed fifteen dollars per family. Guest(s) MUST be accompanied by an Adult Member. Residents of the neighborhood do not qualify as guests. Out of Town Guests: May visit with no charge. Association Bylaws and Pool Rules are available for view on our website:
http://www.WGRA.org
. I, and other members included in this membership (if applicable) do hereby agree to adhere to the WGRA Bylaws and other community rules of the facilities provided by the Association. (Typing your name constitutes signing your name to this agreement.)
*
Your answer
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