CV 2023 Pool Membership Form

THIS IS A TWO – STEP PROCESS: After filling out and clicking “SUBMIT” on the form below, you will need to visit the page for Pool Pass Payments (Link at bottom of page or in menu). If you are doing a payment plan for a family membership, you still must fill out this form each time.

For information on membership options and passes, CLICK HERE

ENTRANCE TO POOL IS WITH YOUR EMAILED RECEIPT AFTER PURCHASE!

Name *

First

Last

Address *

City *

State *

Zip Code *

Phone Number *

Email *

Email addresses will only be used for Cammack Village Pool related communication.

Emergency Contact Name *

First

Last

Emergency Contact Number *

ONLY FOR FAMILY/HOUSEHOLD MEMBERSHIPS: Enter Name and Age of Each Immediate Family Member

Make sure to enter all immediate members of the household. Anyone not listed will be required to pay a Guest Day Pass. (Grandparents and Babysitters are not considered immediate family members).

Accept Terms and Conditions *

I have read and understand the terms and conditions as outlined below.

Upon payment and valid membership, I agree that all pool patrons swim at their own risk. I understand and acknowledge that neither the City of Cammack Village or its agents are responsible for any injury or death that may occur by use of the pool, but that I assume all risk associated with use of the pool, to the fullest extent allowed by law. I agree that all information provided in this form is correct and accurate. I agree that if I am purchasing a "Family Membership" that "Family" means immediate members of that household not including babysitters and grandparents. I agree to abide by Cammack Village Pool rules and staff. Not doing so will result in ejection from the pool area and suspension without refund of the membership. I understand the pool is a no alcohol and no smoking or vaping facility. Pool memberships may be canceled at any point in the summer at the sole discretion of the City of Cammack Village, for reason including but not limited to unforeseeable expense or declining revenues, and a return of membership dues is not guaranteed.

AFTER YOU CLICK SUBMIT, CLICK HERE TO PROVIDE PAYMENT.

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