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.

New Member ApplicationNOTE
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!
Membership TypeREGULAR: 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.
Your NameRebecca Bergman
Address4 Ria Drive
White Plains, New York 10605
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Home Phone(914) 924-5356
Mobile Phone(914) 924-5356
EmailEmail hidden; Javascript is required.
# of Family Members3
Spouse/Partner NameMichael Bergman
Children - Names and Dates of Birth

Kaleb Bergman 6/27/2012

How did you hear about Westwood?Elizabeth and Chris Sanchez