Group Child Pass Registration

Home
Swimming Pool
Membership
Employment
Pavilions
Special Events
75th Anniversary
About
Photos
Board of Directors
Support
Contact Us

PMPA

Home
Swimming Pool
Membership
Employment
Pavilions
Special Events
75th Anniversary
About
Photos
Board of Directors
Support
Contact Us

GROUP CHILD MEMBERSHIP REGISTRATION

Group Child pass - Register online here

* Indicates required field

Last Name (person receiving pass) *

Address (person receiving pass) *

Line 1

Line 2

City

State

Zip Code

Country

Phone # (person receiving pass) *

Email (person receiving pass) *

Child 1 for pass *

First

Last

Birthday of Child 1 *

Swimming Lessons Child 1? *

Yes ($10 extra) No

Child 2 for pass *

First

Last

Birthday of Child 2 *

Swimming Lessons Child 2? *

Yes ($10 extra) No

Child 3 for pass *

First

Last

Birthday of Child 3 *

Swimming Lessons Child 3? *

Yes ($10 extra) No

Child 4 for pass *

First

Last

Birthday of Child 4 *

Swimming Lessons Child 4? *

Yes ($10 extra) No

Child 5 for pass *

First

Last

Birthday of Child 5 *

Swimming Lessons Child 4 *

Yes ($10 extra) No

Child 6 for pass *

First

Last

Birthday of Child 6 *

Swimming Lessons Child 6? *

Yes ($10 extra) No

Child 7 for pass *

First

Last

Birthday of Child 7 *

Swimming Lessons Child 7? *

Yes ($10 extra) No

Comment *

Name of person purchasing pass (if different than above) *

First

Last

Email (if different than above) *

Phone # (if different than above) *

By pushing submit, you agree to make your payment upon receipt of invoice within 24-48 hours. Otherwise, please print and mail the application with your payment.

Submit & Next

Proudly powered by Weebly

Home
Swimming Pool
Membership
Employment
Pavilions
Special Events
75th Anniversary
About
Photos
Board of Directors
Support
Contact Us