2026 City Pool Season Pass Application

Please note that payment will need to be made at the City Pool once your application has been submitted. The pool accepts cash, checks, and all major credit cards.

Parent/Guardian Full Name

Physical Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

E-mail Address

Emergency Contact Full Name

Emergency Phone Number

Pass Options

Individual Pass ($100 per adult)

Ages 18+

Individual Pass ($75 per child)

Ages 5-17

Family Pass ($200)

Family pass includes immediate family members only (spouse/significant other and minor children in the home under the age of 18)

One Week Family Pass ($125.00)

A one week family pass is good for one week (7 consecutive days) from the day of first use.

Immediate Family Member #1

List name and date-of-birth

Immediate Family Member #2

List name and date-of-birth

Immediate Family Member #3

List name and date-of-birth

Immediate Family Member #4

List name and date-of-birth

Immediate Family Member #5

List name and date-of-birth

Immediate Family Member #6

List name and date-of-birth

Immediate Family Member #7

List name and date-of-birth

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2026 City Pool Season Pass Application

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