LOA Membership DuesApril 28, 2026/in Offered LOA Membership 2026 LOA User Summer Application Step 1 of 2 50% WEDGWOOD SWIM POOL INC.located at: 7727 28th Ave NE Seattle, WA 98115I hereby apply to be a Summer Leave of Absence (LOA) User in the Wedgwood Swim Pool, Inc. for Summer 2026. I understand that this Summer LOA opportunity allows me to utilize the pool and participate in all pool activities while still maintaining my wait list position until a Full membership is offered to me. I understand I gain no equity or voting rights in the pool. I further understand it is valid only for those dates indicated below and does not last beyond the summer of 2026. I agree to abide by all rules and bylaws of the Wedgwood Swim Pool.LOA USER IS VALID FROM OPENING DAY IN MAY 2026 THROUGH CLOSING DAY IN SEPTEMBER 2026. By typing in my name below, I agree to the above statement and wish to be a LOA User in Summer 2026 at Wedgwood Swim Pool, Inc. Acct #LOA Applicant First Last LOA spouse/partner Yes/No Check this box if you have a spouse/partner who resides full time at the same address who wants to be a co-applicant to be a LOA User.By typing in my name below, I agree to be a co-applicant to be a summer 2026 LOA User at Wedgwood Swim Pool, Inc. with the above signatory. Co-applicant First Last Please complete the following information, so we can process your application and send you an invoice. You should receive your invoice by email from [email protected] within 5 days and it is payable upon receipt.Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant Cell Phone(Required)Email(Required) Co-Applicant Cell PhoneCo-Applicant Email Number of household members excluding co-applicant(s) of this application to be a summer 2026 LOA(Required)Please enter a number from 0 to 6.Enter the number of full-time household member(s) excluding the applicants(s) of this LOA application. They must reside year-round with the applicant(s) unless they are the applicant(s) child(ren) and they are under the age of 26. Birthdates are required to be given for all household member(s) that are not the applicant(s). Name of household resident # 1 First Last Birthdate of household resident #1 MM slash DD slash YYYY Name of household resident # 2 First Last Birthdate of household resident #2 MM slash DD slash YYYY Name of household resident # 3 First Last Birthdate of household resident #3 MM slash DD slash YYYY Name of household resident # 4 First Last Birthdate of household resident #4 MM slash DD slash YYYY Name of household resident # 5 First Last Birthdate of household resident #5 MM slash DD slash YYYY Name of household resident # 6 First Last Birthdate of household resident #6 MM slash DD slash YYYY Name of Emergency Contact First Last Phone number of emergency contactage resident bylaw By ticking this box, I confirm that all household member(s) meet the pool bylaw requirements that they are living with the owner(s) full-time or they are the child(ren) of the owner(s) and are under the age of 26.Order Token 0 0 Josh Leahy Josh Leahy2026-04-28 12:31:032026-05-12 13:32:12LOA Membership Dues