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2017 Kenholm Pool Membership Application
Please complete the following application for membership to the Kenholm Pool for the 2017 season. Your membership is not complete until payment is received.
Household last name(s)
Your answer
Individual household members
Please include every member of your household and his/her age. If you have a permanent caregiver who will be accompanying your children to the pool, please include that person as a member of your household.
1. Household member name
Your answer
Age (as of July 1)
Your answer
2. Household member name
Your answer
Age (as of July 1)
Your answer
3. Household member name
Your answer
Age (as of July 1)
Your answer
4. Household member name
Your answer
Age (as of July 1)
Your answer
5. Household member name
Your answer
Age (as of July 1)
Your answer
6. Household member name
Your answer
Age (as of July 1)
Your answer
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