2017 Pool ON-LINE Registration

VISIT OUR NEW WEBSITE WWW.PWCCHOA.COM 

REGISTRATION
FORMS RECEIVED VIA EMAIL OR VIA ON LINE REGISTRATION WILL RECEIVE THEIR GUEST
PASS IN THE MAIL GOOD FOR TEN (10) FREE VISITS.

You may purchase additional passes:

$2.50 per person

Or

$10.00 per family per day

(Additional passes must be purchased at the Management
office. Payment in the form of a check
only. Members must escort their guests
at all times and are held responsible for their guest’s actions).


2017 NEW AGE REQUIREMENTS

Children under the age of 16 must be accompanied by a resident
16 years or older.  Existing pool passes in the possession of children
under the age of 16 must display a “RED” sticker.
These stickers are available at the management office. Any pool pass that displays a “RED” sticker
will be an indication that this individual MUST be accompanied by someone 16 or
older for the duration of their swim time.


 


 


 

 

The Prince William County Center Pool opens

Memorial Day Weekend, Saturday, May 27, 2016

Pre - summer hours (open on weekends only):

Saturday, 12:00pm-8:00pm

Sunday, 12:00pm-8:00pm

Monday, (May 29th, 2017) 12:00pm-8:00pm


Please fill out this form in it's entirety.  If you are renting the home, the Landlord must fill out this form and provide a copy of the current lease. If you do not have an access card with your picture on it you will be required to come into the office to have your picture taken and obtain an access card.  You may still fill out the form online. If you have lost your access card replacement access cards are $25.00.  

 

The office is located at

4799 Wermuth Way, Woodbridge, Virginia 22192

703-580-9650

pwccoa@comcast.net

Hours:  Monday 9:00am - 7:00pm

Tuesday - Friday:  9:00am - 5:00pm*

(*Friday hours may differ, please call first)


 



Owner's Full Name:*
email:*
Property Address:*
Rental?:*
Owners Mailing Address if rental:*
Owners Contact telephone Numbers:*
Renter's First name:*
Renter's Last name (Type NONE if not a rental):*
Renter's email address (Type NONE if not a rental):*
Renter's Contact information (Type NONE if not a rental):*
New resident that needs an access card? (Yes/No):*
5 digit number on access cards in your possession (if you do not have an access card please enter 000 ):*
Household members names and ages:*
ADDITIONAL INFORMATION
To prevent automated SPAM, please enter DRN6 to submit your form (case sensitive):*
 

* indicates required field

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