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FCC Events + Specials Summer ’23!
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Events
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Memorials
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2024 Pool Membership Application
2024 Pool Membership Application
"
*
" indicates required fields
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
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Aruba
Australia
Austria
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Belize
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Bosnia and Herzegovina
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Bouvet Island
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Burundi
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Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
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Christmas Island
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Colombia
Comoros
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Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
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Côte d'Ivoire
Denmark
Djibouti
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Dominican Republic
Ecuador
Egypt
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Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
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France
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Gabon
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Georgia
Germany
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Panama
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Poland
Portugal
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Qatar
Romania
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Rwanda
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Saint Helena, Ascension and Tristan da Cunha
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Samoa
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Tanzania, the United Republic of
Thailand
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Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
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Zimbabwe
Åland Islands
Country
Email
*
Email (Secondary)
Phone
*
Text Messaging
You may text message me
If we have text capabilities, we may text you about weather, food orders, and events.
Spouse Name (only if joining)
First
Last
Pricing & Payment Information
All payments must be made online at the time of registration to secure your membership. A family member constitutes an immediate family member in the same household.
Children 2 and under are free, do not list name and birthdate.
Babysitters may be listed, with their full name and birthdate.
Senior Citizens single membership $350, senior couple $600. Use dropdown box for senior membership. Walk-in registration is not available.
Registration Pricing
*
Member
Senior
Other
$400 fee per member, $350 for seniors 65+. Children 2 and under are free and should NOT be listed on application. There is a $17 administrative fee per registration.
**Your total is based on the number of members.
Consent
*
I understand there are no pool membership refunds
Membership is non-refundable. Checking this box acknowledges that you understand membership will not be refunded for any reason.
Select the TOTAL number of members registering
*
1
2
3
4
5
6
7
8
ATTENTION: Be sure to enter in the total number of family members here, including yourself, as this will determine the total amount you pay online.
Select the TOTAL number of members registering
*
1
2
ATTENTION: Be sure to enter in the total number of family members here, including yourself, as this will determine the total amount you pay online.
Processing Fee
*
Price:
Online Registration Total
Additional Family Members Joining
Please provide the first and last name (if differs) of all members except those 2 and under.
6 digit birthdate must be given for each member (ie: 10/09/70)
First Member - $400
*
First
Last
Birthdate
2nd Member - $700
First
Last
Birthdate
3rd Member - $750
First
Last
Birthdate
4th Member - $800
First
Last
Birthdate
5th Member - $850
First
Last
Birthdate
6th Member - $900
First
Last
Birthdate
7th Member - $950
First
Last
Birthdate
8th Member - $1000
First
Last
Birthdate
Hidden
Coupon
Credit Card
*
Card Details
Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.
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