2023 Pool Pass Registration 2023 Pool Passes Step 1 of 3 33% Family InformationParent/Guardian's Name* Primary Contact Phone* Additional Parent/Gaurdian's Name Additional Contact Phone Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Residential Status*Please Choose...Resident of MonticelloNot a Resident of MonticelloA resident is any individual who resides within the village limits AND pays Monticello taxes. All other individuals living outside the village limits are considered non-residents with taxes being paid to the township.Would you like to order a pool pass today?*Please Choose...YesNo Pool PassesResident Pool Pass TypePlease ChooseSingle / Individual $60.006 mo-4 yr old Pool Pass $15.00Family (2-6 people) $120.00A resident is any individual who resides within the Village limits of Monticello and pays village taxes. A 'family pass' is defined as: Two Adults and four children living at the same address.Name on Single / Individual Pool Pass* Name Name on 6 mo-4 yr old Pool Pass* Name 1st Name on Residential Family Pool Pass* Name 2nd Name on Residential Family Pool Pass* Name 3rd Name on Residential Family Pool Pass Name 4th Name on Residential Family Pool Pass Name 5th Name on Residential Family Pool Pass Name 6th Name on Residential Family Pool Pass Name Additional Residential Pool Pass Option 1Please Choose...Additional Member Pool Pass $10.00Number of Additional Residential Member PassesPlease enter a number from 1 to 4.1st Name on Additional Pool Pass* 2nd Name on Additional Pool Pass* 3rd Name on Additional Pool Pass* 4th Name on Additional Pool Pass* Additional Pool Pass Option 2Choose Option...Add Babysitter to Family Pool Pass $10.00Babysitters Name to add to Residential Family Pool Pass* Non-Resident Pool Pass TypePlease Choose...Single / Individual $80.006 mo-4 yr old Pool Pass $20.00Family (2-6 people) $160.00Individuals living outside the village limits are considered non-residents with taxes being paid to the township. A 'family pass' is defined as: Two Adults and four children living at the same address.Name on Non-Residential Single / Individual Pass* Name Name on Non-Residential 6 mo-4 yr old Pool Pass* Name 1st Name on Non-Residential Family Pool Pass* Name 2nd Name on Non-Residential Family Pool Pass* Name 3rd Name on Non-Residential Family Pool Pass First 4th Name on Non-Residential Family Pool Pass Name 5th Name on Non-Residential Family Pool Pass Name 6th Name on Non-Residential Family Pool Pass Name Additional Non-Residential Pool Pass Option 1Please Choose...Additional Non-Residential Member Pool Pass $10.00Number of Additional Non-Residential Member PassesPlease enter a number from 1 to 4.1st Name on Additional Pool Pass* 2nd Name on Additional Pool Pass* Name 3rd Name on Additional Pool Pass* Name 4th Name on Additional Pool Pass* Name Additional Non-Residential Pool Pass Option 2Choose Option...Add Babysitter to Family Pool Pass $10.00Babysitters Name to add to Non-Residential Family Pool Pass* Name Sub-Total $0.00 Terms and ConditionsPlease be aware the Recreation programs involve an element of risk or danger for all participants and may cause serious injury or property loss. The Recreation Department does not provide nor cover any medical or hospital insurance for participants in our program. Anyone participating in sponsored programs assumes risk of all injuries. In order to participate, an adult signature is REQUIRED. I have read and agree to the terms above* Check box for signature Total Pool FeesTotal $0.00 Registration SubmissionCaptchaCommentsThis field is for validation purposes and should be left unchanged.
