Melrose Membership Registration
Email *
New Member? *
Member Last Name
(ex: Smith)
 *
Parent 1 Name *
(ex: Branden)
Parent 2 Name
(ex: Kim)
Child(ren) Name(s) *
First names of CHILDREN in family living in your household (ex: Kate, Josh)
Address *
Parent 1 Email Address *
Parent 2 Email Address
Parent/Guardian 1 Phone Number *
Please add name after phone number (ex: 555-327-9865 - Branden)
Parent/Guardian 2 Phone Number
Please add name after phone number (ex: 555-327-9865 - Kim)
Type of Membership *
Membership Cost includes Annual Dues  (January 1 - December 31, 2024)
Membership Certificate *
As stated in our bylaws, Membership Certificates are required for Family Memberships. Please select which option applies to your family. Please note that voting rights are granted once Membership Certificate is paid in full. Your Membership Certificate stays valid as long as your Annual Membership Fees are paid and in good standing.
Capital Improvement Fee (Required) *
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