Pool Passes
 
Pool Registration for 2011 season  
* First Name: * Phone Number:  
* Last Name: Mobile Number:  
* Address 1: Work Number:  
Address 2: Email:  
* City: Emergency Contact Information
* State: * Name:
Zip:     * Phone:  

Membership Level Costs
Please select the type of membership you would like:
Type Membership Level Fee Mail or Drop off payments to:
Individual $125.00 Village of Sloatsburg
96 Orange Turnpike
Sloatsburg, NY 10974
Family $300.00
Senior Citizen $25.00 *Make checks out to Village of Sloatsburg

*If you are a first time pool pass member, please submit a copy of your NY State Driver�s License with Sloatsburg address or a copy of a current utility bill as proof of residency.