New Member Application

  • Enter the name of the primary account holder.
  • Please list all the members that will be included in your account. Birth dates are required for children.
    First NameLast NameMember TypeBirthdate (required for children)Phone # (optional)Email (optional) 
  • Did a current member of Valleybrook Swim Club refer you to us? If so, please tell us their name here.
  • Is there anything further we should know to set up your account?
  • Strength indicator
    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.