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Whitesburg Recreation Association
Membership Form

πŸͺͺ Membership Type

Untitled multiple choice field
A
B
C

🏠 Basic Information

πŸ‘ͺ Membership Privileges to Include

All individuals must live in same household as primary member. If you are paying individual dues, no other members may be listed. If you are paying couples dues, one additional member may be listed here.

πŸš‘ Emergency Contact

πŸ‘©πŸ»β€πŸ”§ Special Skills or Talent

Our pool is run mostly by members who volunteer to help out where needed. If you have any special skills that might be useful to the pool, let us know here!

πŸ’³ Payment Heading

Payment Method
A
B
C

Signature

By typing your name below you agree that the information above is accurate and agree to abide by the rules and bylaws of Whitesburg Recreation Association.