Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 4Membership Statement Section 2.1. A membership may be owned jointly by husband and wife, or singularly by husband or wife or unmarried head ofhousehold. All of the rights, duties, obligations and benefits of membership shall insure to the immediate family residing togetherwith owner(s) in a single household.Section 2.2. Member(s) shall designate family members (Limited to (8) eight) each year upon payment of membership dues.Designated family members shall enjoy all rights and privileges of membership.Designated family members must be related to Member(s) (as a child, stepchild, adopted or foster child, parent.)Section 2.2.1 Member(s) may, as one of the eight designated Family members, designate a childcare provider who shall enjoy all rightsand privileges of membership during the course and scope of performing duties as a childcare provider for a member. As stated in the ByLaws, ARTICLE VII: Section 4 - No member shall be deemed in good standing, unless and until the records kept by the Treasurer reflect such member has paid in full all dues, work party fines, penalties and assessments levied in accordance herewith. Members whose dues are two (2) months in arrears shall be notified in writing by the Board of Directors. Unless approved by the Board, Failure to pay dues within thirty (30) days of written notification shall result in the membership reverting to the corporation without remuneration. Family Name *Email *Billing Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCell Phone *Home PhoneAre you new to Forest Park? *YesNoWho referred you to Forest Park?FirstLastDo you consent to receiving weekly updates which include hours of operation, events, and other important information? *YesNoHow would you like to receive the weekly updates? *By EmailBy TextBoth, PleaseNextMembership InformationName - Primary Member *FirstLastPrimary Member Birthday *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age of Primary Member *18 - 2526 - 3435 - 4445-5455 - 6061+Which membership are you interested in? *Family MembershipSenior MembershipA Senior Membership can be one or two adults (60 and over) residing at the same address. Children are not included in this membership but guest passes are available for visitors if needed.Name - Secondary MemberFirstLastSecondary Member BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920*required if member is a minorHow many additional family members will be on your account? *012345678Additional Family Member 1Additional Family Member 1 - NameFirstLastAdditional Family Member 1 - BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920*required if member is a minorRelationship to Primary MemberAdditional Family Member 2Additional Family Member 2 - NameFirstLastAdditional Family Member 2 - BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920*required if member is a minorRelationship to Primary MemberAdditional Family Member 3Additional Family Member 3 - NameFirstLastAdditional Family Member 3 - BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920*required if member is a minorRelationship to Primary MemberAdditional Family Member 4Additional Family Member 4 - NameFirstLastAdditional Family Member 4 - BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920*required if member is a minorRelationship to Primary MemberAdditional Family Member 5Additional Family Member 5 - NameFirstLastAdditional Family Member 5 - BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920*required if member is a minorRelationship to Primary MemberAdditional Family Member 6Additional Family Member 6 - NameFirstLastAdditional Family Member 6 - BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920*required if member is a minorRelationship to Primary MemberAdditional Family Member 7Additional Family Member 7 - NameFirstLastAdditional Family Member 7 - BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920*required if member is a minorRelationship to Primary MemberAdditional Family Member 8Additional Family Member 8 - NameFirstLastAdditional Family Member 8 - BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920*required if member is a minorRelationship to Primary MemberPreviousNextInsurance & Emergency ContactsPrimary Insurance CarrierInsured EmployeeGroup NumberEmployee NumberSecondary Insurance CarrierInsured EmployeeGroup NumberEmployee NumberEmergency Contact 1 *FirstLastHome PhoneCell Phone *Emergency Contact 2FirstLastHome PhoneCell PhoneNextMembership Terms & Conditions I agree to pay the yearly membership dues. I understand that if I do not maintain my membership, per the by-laws, my membership will revert to the Forest Park Swimming Association. I understand that the pool and payment of dues is governed by the Forest Park Swimming Association by-laws. I acknowledge that I have been given a copy of these by-laws. I agree that my family, my guests and I will abide by the safety and pool rules and code of conduct established by "The Association." I understand that each membership is responsible of 12 volunteer hours as a part of my membership: ** I will complete 12 volunteer hours, or pay a $25.00 per volunteer hour fine for commitments not completed. Volunteering is a scheduled gatekeeping shift or yard maintenance shift, other, any combination (12 hours) total. Volunteer hours are scheduled throughout the year. Fines are due and payable by September 2023, unless alternate arrangements are made with the Board of Directors.Checkboxes *I agree to the membership termsSelecting this box serves as a signature that you are agreeing to the the membership terms and conditions above. Forest Park Code of Conduct | Forest Park Swim Club members are expected to comply with the following code of conduct guidelines while taking part in any club activities. Above all, it is expected that all members, coaches, volunteers, and guests, alike will: Behave without discrimination on the grounds of age, gender, race, religion, sexual identity, or disability Members are responsible for the actions and behavior of their guests Respect the rights and dignity of each member of the club and all other swimmers Treat everyone with respect Comply with the codes, rules, and laws within the guidelines set out by Forest Park Swim Club Follow lifeguards’ instructions and discretion at all times Forest Park Swim Club reserves the right to have an individual removed from the facility, and/or to suspend or revoke membership privileges to anyone who displays the above-mentioned inappropriate and harmful behavior toward fellow members, guests, or any event participants.Checkboxes *I agree to the Member Code of ConductSelecting this box serves as a signature that you are agreeing to the the Member Code of Conduct above. Agreement Date *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Signature * Clear Signature Payment InformationAnnual MembershipPrice: $670.00Senior MembershipPrice: $335.00Discount Code Apply Total$0.00Please contact president@forestparkpool.net if you have any questions. Credit/Debit Card Information *CardName on CardSubmit