JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2026 Pine Brook Membership Application
Thank you for your interest in joining our club! Please complete the form below to signal our Membership Chair and Treasurer to update our Member Directory and generate an invoice.
Please contact our Membership Committee at
info.pinebrook@gmail.com
for more information! We look forward to seeing you this summer!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Membership Class
*
Full Family Membership ($1700 + one-time $700 participation fee this year)
Full Family Membership ($1700, defer $800 participation fee until Year 2)
Adult Couple ($700)
Adult Single ($500)
Teen Member ($1000 - limited to one per household, must be 13 by May 31, 2026)
Legacy Family ($1200 - must have 6+ years of Full Family Membership)
Payment Method
We use Quickbooks for billing. They charge a fee depending on payment method that we will add to the invoice as a service fee.
*
Bank Check - No Fee
Linked Bank Account - 1% service fee
Credit Card or PayPal - 2.99% service fee
Referral Family Name (if applicable):
Your answer
Name(s)
as you would like it to appear in communications:
*
Your answer
Home Address:
*
Your answer
Contact Phone:
*
Your answer
Secondary Email (optional)
Your answer
Occupation/Skills that might help at the club:
Your answer
Do you have children:
No
Yes
Clear selection
If yes, Name and DOB (for activity planning):
Your answer
Emergency Contact:
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
