Membership Home – Membership Membership Application Membership Form Step 1 of 2 50% Name(Required) First Last Email(Required) Mobile Number(Required)Age Range(Required) 15-20 21-29 30-39 40-49 50-59 Other Gender(Required) Male Female Prefer Not to Answer Where Did You Hear About Poolio's(Required) Instagram TikTok Website Member Referral Other Please Specify Please Specify Name First Last Do you have any physical disabilities that may prevent you from being part of certain activities?(Required) Y N Prefer Not to Answer Are you active or retired Military?(Required) Y N Prefer Not to Answer Please specify a timeframe that is generally best to speak or meet(Required) MM slash DD slash YYYY (Required) MM slash DD slash YYYY Please specify a timeframe that is generally best to speak or meet(Required) Weekday Mornings (M-TH 9 am - 12 pm) Weekday Afternoon (M-TH 12 pm - 6 pm) Weekday Evenings (M-TH after 6 pm) Weekend Mornings (F-SU 9 am - 12 pm) Weekend Afternoon (F-SU 12 pm - 6 pm) Weekend Evenings (F-SU after 6 pm) (Required) I agree to have a representative from Poolio's Pool Hall & Pizzeria contact me to schedule a meeting I DO NOT agree to have a representative from Poolio's Pool Hall & Pizzeria contact me to schedule a meeting $50 Will Charge For The Membership Fee Price: Credit/Debit Card Details(Required)Please check your Stripe API Settings. Click the "Connect with Stripe" button to use Stripe.
