Online Registration with payment by CHECK – Pool Membership Pool Membership Application - check payments only If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Select your membership plan: * Family - $625Couple - $450Individual Adult, no child in household -$325Senior Couple (60+) - $350Senior Individual (60+) - $300Volleyball & Tennis 2020 $40 This field is for adding an optional contribution to LPRA, which we have suggested for those paying online to help cover the 3% payment processing fees. Optional: additional contribution Member Type * New members are subject to a one-time initiation fee of $150. New MemberReturning Member Member #1 First Name * Last Name * Phone * Email * Address 1 * Address 2 City * State * North Carolina Zip / Post Code * Member #2 First Name Last Name Email Phone Member #3 First Name Last Name Email Phone Please list any child members below (if applicable): First Last Birthdate First Last Birthdate First Last Birthdate First Last Birthdate Total PLEASE NOTE THAT ALL PAYMENTS ARE NON-REFUNDABLE. Enter your initials below to indicate that you have read and agreed with the terms of the Code of Conduct and Waiver: http://lakeparkpool.com/wp-content/uploads/Safety-Code-of-Conduct-and-Waiver-for-Lake-Park-Recreation-Association.pdf Enter Initials Here: *