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2023 Resident Registration
&
Dues Payment
Complete the form below to provide your contact and family information, and to pay your dues for 2023.
"
*
" indicates required fields
Name
*
First
Last
Membership Information
Please enter the contact information for the primary member on your account. You can add additional members below.
River Walk Address
*
Street Name
Black Pine Court
Bramblewood Terrace
Broken Pine Court
Deer Track Road
Gilder Point Court
Gilder Trace
Gilderview Drive
Greenside Court
Hidden Oak Terrace
Laurel Oak Trail
Maple Brook Court
Oak Knob Court
Parkside Drive
River Point Court
River Walk Blvd
River Walk Court
River Walk Drive
River Walk Terrace
Rockberry Terrace
Silver Fox Trail
Stonebridge Drive
Walnut Trace Court
Wolf Run Drive
House Number
Please select your street, then house number.
Email
*
This email will be used for the River Walk Access (FOB) System
*
Yes
No
Primary Phone
*
Date of Birth
MM slash DD slash YYYY
Family / Other Members Information
Please add other family members or authorized users below. Please refer to the
River Walk Rules
for more information on who is allowed to be registered with your membership. Email addresses for all Family / Other Members are required if you are using the Mobile App to access the pool gate or gym. If you are using a FOB (Keychain or Key card) then the cards can be assigned to the main contacts account.
Note - Only registered emails will be added to the River Walk FOB system.
Family Members/ Authorized Users
Name
Email
Actions
Edit
Delete
There are no
Members.
Add Member
Maximum number of members reached.
Medical Consent
Emergency Contact Information
The following information is required to access the River Walk swimming pool, tennis courts, or gym.
Emergency Contact Person
*
First
Last
Emergency Phone
*
I hereby give the staff of River Walk Pool authority to administer medical treatment that may be necessary for an emergency, and, in my absence, for the well-being of the above-mentioned child/children.
I understand that DHEC regulations require that an adult or responsible guardian, other than the lifeguards, must supervise children under the age of 13 when at the pool.
Parental Permission for children under age 12
I am the parent/guardian of a child between the ages of 10 and 12 who will be attending the River Walk Pool.
*
Yes
No
Pool Rules
No child under age 12 will be allowed at the pool without a parent or a responsible sitter age 16 or older. Children ages 12 and older may come to the pool without an adult or sitter if they can meet the following criteria:
Pass the deep-water test defined by the Pool Manager annually, and
have the permission and responsibility form (Pool Registration Form) signed by their parent.
Please review the
pool rules
.
Gym Rules
You must be 14 years of age or older to use the Fitness Center. Also, no one under 14 years of age is allowed in the Fitness Center. Parents/guardians are responsible for the behavior of their children, household members and guests.
Please review the
gym rules
Date
*
MM slash DD slash YYYY
Payment Information
2023 RWRA Dues
*
Price:
FOB for Pool & Gym Access
Quantity
Keychain or Key card FOB's are OPTIONAL.
You can use a mobile app on your smartphone to access the Pool & Gym. Instructions will be provided after you register. If you would like to purchase a FOB, please enter the number of FOB's you would like to have the cost added to your payment.
Price:
$25.00
Quantity
Coupon
Total
Billing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Security Code
Cardholder Name
Hidden
House Number
Name
This field is for validation purposes and should be left unchanged.
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Name
(Required)
First
Last
Email
(Required)
Detail the changes you would like to have made
(Required)
Hidden
What is 3 + 7?
Email
This field is for validation purposes and should be left unchanged.
Δ
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