Millersburg, PA · Dauphin County
2023 Pool Membership Form
This form lets people request 2023 membership in the Millersburg Area Pool Association by selecting a membership category and providing household details.
What this form is
The form is for people seeking 2023 pool membership and lists family, individual, senior, and tax-deductible donation categories. It asks for contact and emergency information, household member names and ages, and a membership selection. The document does not state that the city requires it; it provides membership rates and instructions for making and mailing payment.
Who needs it
People seeking 2023 membership in the Millersburg Area Pool Association should complete the form and provide the requested household and contact information.
How to submit it
Make checks payable to Millersburg Pool Association and send the form and payment to Kathy Weiss, 120 Lincoln Lane, Millersburg, PA 17061.
About notarization
This form is completed without a notary; it mentions no notarized or sworn attachment, and the supplied text does not specify a signature or date step.
How to submit this form
- 1
Download the Form
Download the 2023 Pool Membership Form PDF.
- 2
Complete the Form
Select a membership category and provide the requested contact, emergency, and household member information.
- 3
Prepare Payment
Make your check payable to Millersburg Pool Association.
- 4
Mail the Form
Send the form and payment to Kathy Weiss, 120 Lincoln Lane, Millersburg, PA 17061.
Frequently asked questions
- What is the 2023 Pool Membership Form for?
- It lets people request membership in the Millersburg Area Pool Association and provide contact, emergency, and household member information.
- Who should complete this pool membership form?
- People seeking 2023 membership can select a category and list the requested household and contact details on the form.
- Do I need a notary for the 2023 Pool Membership Form?
- No. The form does not include a notary block or mention a notarized or sworn attachment; the supplied text does not specify a signature or date step.
- How do I submit the 2023 Pool Membership Form?
- Make checks payable to Millersburg Pool Association and send the form and payment to Kathy Weiss at 120 Lincoln Lane, Millersburg, PA 17061.
Need something notarized?
This 2023 Pool Membership Form doesn’t need a notary — but if you have another Millersburg form that does, a commissioned online notary can help.