Home Phone #:
List below, all FAMILY MEMBERS, defined as "Two adults and their children living in the same single family household", to be included on your Membership. (Extended Family members such as Grandparents, Aunts, Uncles, Nieces, Nephews, etc. must obtain their own membership.)
Enter Caregiver Information below. Caregivers are added to the membership for $100/person.
Leave section blank if no Caregivers are on the membership.
Base Membership Fee is $750
Membership Discounts (check all that apply):
Purchase Resident Deduction (Deduct $300)
2016-17 After School Member Deduction (Deduct $150)
2017 Camp Patron Deduction