Waitlist Application

Before submitting an application, be sure to read about the waitlist process and wait times for swim privileges. Then complete this form and submit the non-refundable $50 application fee to join the waitlist at Merrimack Pool.

After submitting your application, login to your account to add immediate family members residing in your household and be sure each adult has personal contact information, photos for all account members, and an emergency contact who is not an account member. Add Membership@MerrimackPool.org to your contacts/safe senders to receive pool communications. It is important that you keep your account up-to-date–if you move be sure to let us know as this is one of the fields that you cannot update.

Questions? Contact: Membership@MerrimackPool.org.

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Payment Status
Name*
First Last
Your account will be initiated under this family name.
# of Household Members*
Household members are immediate family living with you.
Address*
Street Address City State ZIP Code
Do You Live Within Merrimack Pool Boundaries?*
- Yes
- No
Please indicate whether you live within the boundaries of Goldsboro Rd (S), MacArthur Blvd (W), Wilson Lane (N) and River Road (E). Merrimack Pool gives preference to applicants who reside in within these boundaries.
Do you own or rent your home?*
- Own
- Rent
Phone*
Cell Phone
Email Address*
Password*
Enter Password Confirm Password

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How Did You Learn About Merrimack Pool?
Terms and Conditions*
- Required
Application is hereby made for membership in Merrimack Pool. I agree to be responsible for full and timely payment of the equity fee when offered membership (currently $1900, subject to change), annual dues, and any assessments established by the Board of Directors. I further agree that if offered a membership, I will either pay the then-official fee, or I will withdraw my application. I understand that offers of swim privileges and other pool communications are sent by email so I will be responsible for keeping my contact information up-to-date. Accounts will be closed if offers for swim privileges are not responded to. I affirm that only immediate family members residing in our household will be listed on the account. By checking this box I agree to the terms and conditions of the pool.
Waitlist Application Fee*
Price:
There is a one-time, non-refundable waitlist fee.
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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Order Token

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Waitlist Application

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