2018 Registration Form- Beacon Hill Pool
Please complete the information below and submit your payment to complete your registration for summer 2018.

See you Poolside!

Family Name *
Membership Package **Note Membership will not be confirmed until payment is received** *
Street Address *
City *
Postal Code *
Primary Phone # *
Secondary Phone #
Email Address (strongly recommended as primary communication method)
Emergency Contact Full Name *
Emergency Contact Phone Number *
New or Existing Member ? *
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