EFT Membership Sign Up

Questions, please contact Member Services, 732-914-9500

ATTENTION STUDENT MEMBERS, PLEASE TAKE NOTE OF OUR POLICY FOR POOL USAGE:

Students younger than 13 cannot enter the pool unless lifeguards are on duty.

Students 13, 14, or 15 years old must be accompanied by an adult in the pool area unless lifeguards are on duty.

Sign up form

Membership

Which membership would you like to sign up for?*

*If an enrollment fee applies, it will be charged immediately after purchase.

Basic Info

Full Name*

Email*

Phone*

Date of Birth*

Month

Day

Year

Billing Address

Street*

City*

State*

Zip*

Card Info

Card Type*
VisaMasterCardDiscoverAmerican Express

Debit or Credit Card?*
DebitCredit

Name on Card*

Card Number*

Card Expiration*

CSC *?

Emergency Contact

Emergency Contact Name*

Emergency Contact Phone*

By submitting this form, I understand monthly billing will take place in conjunction with the membership I have purchased.

GUARDIAN OR GRANDPARENT MUST BE A MEMBER ANNUAL MEMBERSHIP * Monthly Electronic Billing through Credit/Debit Card. 12 Month commitment. Billing will be on the 1st or 15th of Each Month. Pro-rated days will be applied. All memberships are plus tax, restrictions apply.

Monthly Electronic Billing through Credit/Debit Card. 12 Month commitment. Billing will be on the 1st or 15th of Each Month. Pro-rated days will be applied. All memberships are plus tax, restrictions apply.

6 MONTH MINIMUM Monthly Electronic Billing through Credit/Debit Card. Billing will be on the 1st or 15th of Each Month. Pro-rated days will be applied. All memberships are plus tax, restrictions apply.

Questions, please contact Member Services, 732-914-9500

Sign up form

Membership

Basic Info

Billing Address

Card Info

Emergency Contact

EFT Membership Sign Up

*GUARDIAN OR GRANDPARENT MUST BE A MEMBER* ANNUAL MEMBERSHIP * Monthly Electronic Billing through Credit/Debit Card. 12 Month commitment. Billing will be on the 1st or 15th of Each Month. Pro-rated days will be applied. All memberships are plus tax, restrictions apply.

Monthly Electronic Billing through Credit/Debit Card. 12 Month commitment. Billing will be on the 1st or 15th of Each Month. Pro-rated days will be applied. All memberships are plus tax, restrictions apply.

*6 MONTH MINIMUM* Monthly Electronic Billing through Credit/Debit Card. Billing will be on the 1st or 15th of Each Month. Pro-rated days will be applied. All memberships are plus tax, restrictions apply.

Questions, please contact Member Services, 732-914-9500

Sign up form

Membership

Basic Info

Billing Address

Card Info

Emergency Contact

GUARDIAN OR GRANDPARENT MUST BE A MEMBER ANNUAL MEMBERSHIP * Monthly Electronic Billing through Credit/Debit Card. 12 Month commitment. Billing will be on the 1st or 15th of Each Month. Pro-rated days will be applied. All memberships are plus tax, restrictions apply.

6 MONTH MINIMUM Monthly Electronic Billing through Credit/Debit Card. Billing will be on the 1st or 15th of Each Month. Pro-rated days will be applied. All memberships are plus tax, restrictions apply.