| Temporary Notice | Please fill out this form to be placed on the list and we will contact you for a season membership. Please see our membership page for fees and dues. |
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| New Member Application | NOTE Please 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! |
| Pay Status | unpaid |
| Membership Type | COUPLES: A Couples Membership consists of two adults residing in the same household. This membership does not allow for the addition of children or dependents. A one-time bond* purchase is required for Couples Memberships. |
| Your Name | Joliette Lukats |
| Address | 23 Brookside Pl Pleasantville, New York 10570 Map It |
| Home Phone | (917) 796-5927 |
| Mobile Phone | (917) 796-5927 |
| Email hidden; Javascript is required. | |
| # of Family Members | 2 |
| Spouse/Partner Name | Rudy Lukats |
592 Columbus Ave. Thornwood, NY. 10594
914-769-4577 (Memorial Day to Labor Day only)