2023 LMOA INDIVIDUAL Pool Membership Application

Individual Pool or Lap Swim Membership

2023 Pool Pass Fee $125 - Lap Swim Only Fee (7-10AM) $40
Swimming Pool Rules: Chapter 6 Section 6.03
Member Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Member Name 2

First NameLast Name
Date of Birth 2

MonthDayYear
Date
LMOA Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Membership Type

1 - Pool Pass $1252 - Pool Passes $250Lap Swim Only (7-9AM) $40
Once your application has been approved, Member Services will give you a call to process the fee.

All membership holders over the age of 12 will recieve a key tag. If lost, there will be a charge for a replacement.

By submitting this application. You are agreeing to adhere to the LMOA Swimming Pool Rules listed in Chapter 6 Section 6.03 in the LMOA Policy Manual.

***Please note that Individual and Family Seasonal Pool Passes are non-refundable.
Should be Empty:

Individual Pool or Lap Swim Membership