Join Our Club! – Pomona Swim Club

We look forward to meeting you!

Fill out this form and we’ll respond with club availability and membership information.

There is a $10.00 non-refundable membership application fee. This fee is applied towards your bond fee at the time membership is offered to you.

Billing Contact Name*
First Last
Enter the name of the person who should be contacted if membership becomes available or with any questions regarding the wait list application.
Names of spouse, children and dates of birth and sex for each
Names of any relative residing with applicant and dates of birth and sex
Address
Street Address City State ZIP Code
Primary Phone #
Email*
Username*
Password*
Enter Password Confirm Password

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Select a password that you will use to access your wait list account. You will be able to send a password reset link to the email address you entered above if necessary.
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Waitlist Fee*
Price:
Total
$0.00
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