Family Season Pool Pass

Complete online or print and fill out by hand.

Family Season Ticket

$150

Those listed on this pass must all live in the same household.

Household Information

Last Name

Parents/Guardians

Dependents (Name/Relationship)

Other (Approved by Manager)

For household members not covered above, subject to manager approval.

Contact Information

Phone Number

Work Number

Emergency Contact (Name/Phone)

This form is not submitted online. Please print and bring the completed form, along with payment, to Lenox City Hall or the Lenox Community Pool.