New Member Application Please enable JavaScript in your browser to complete this form. - Step 1 of 3Membership InformationThis information is required to enter you into our database, and will be used as your primary contact information.Name *FirstLastThis will be the primary name for your membershipDate of Birth (mm/dd/yyyy) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextMembership InformationThis section will help us learn a bit more about your interest in ARA.What type of membership are you interested in? *FamilyIndividualNumber of Family Members *Please enter the number of individuals to include with your membership. Family memberships are for up to two adults and their dependent children living at the same residence.Names and birth dates of family members: *CaregiverCheck this box if you would like to add a caregiver to your membership for an additional $50Caregiver NameResident of HouseholdIf there is a resident of your household to include on your membership, please provide their name and ageHow did you hear about us? (Select all that apply) *From a current or past memberAttended an event at ARASearch engine resultsWebsiteSocial MediaOtherOther (please specify):Which aspects of ARA interest you? (Select all that apply) *Time at the Pool with Family and FriendsAtlee Gators (Swim Team)Community EventsCommunity ServiceNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit