Membership Inquiry Form We have a limited number of PROMOTIONAL memberships available for 2021. Please fill out this form to be placed on the list and we will contact you for the 2021 seasonNOTEPlease fill out this form, including the type of membership in which you are interested. We will contact you regarding the next steps for joining and payment. If someone referred you to the club, be sure to list their full name at the bottom of this page in order for them to receive a thank you for the referral!Your Name* First Last Membership Type*Please select the type of membership in which you are interested.PROMOTIONAL: An Introductory Membership consists of a cohabitating couple or an individual, who have not held a membership with Westwood (with the exception of a Special Membership) in the last 5 years, with children under twenty-two (22) years of age, who are residing with such person(s).REGULAR: A Regular Membership consists of a cohabitating couple or an individual, with children under twenty-two (22) years of age, who are residing with such person(s). A one-time bond purchase required for Regular Memberships. A one-time bond purchase required for Regular Memberships.SENIOR: A Senior Membership consists of an individual who is sixty-two (62) years of age or older as of Memorial Day of the applicable season, and who has no dependents who will be using the Club.SINGLE: A Single Membership consists of an individual who is eighteen (18) years of age or older, and who has no dependents who will be using the Club. The spouse of a Single Member may only visit the Club as a guest once per month. A one-time bond purchase required for Single Memberships.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Mobile Phone*Email*This will be the username for your online account. # of Family Members*Please enter the total number of people who will be using this membership including yourself. E.g.,: For yourself plus a spouse and one child enter 3.12345678910Spouse/Partner Name First Last Children - Names and Dates of BirthPlease enter each child member who will be on the account, with DOB (mm/dd/yyyy), e.g.: Johnny Tentpeg 04/15/2011, Jane Tentpeg 08/22/2013 How did you hear about Westwood?E.g., "Facebook", "flyer", "referred by current member", etc. If referred by a current member, please enter their FULL NAME in order for us to thank them for the referral.CAPTCHALet's keep out SPAMNameThis field is for validation purposes and should be left unchanged.