Swim Application

Please complete the following application and submit it electronically. You will then get an email confirming your information, that will include payment instructions.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Membership Type

Have you been a swim member before:

Are you a senior?

65 years old and up

How many people from your household are joining?

Please include yourself in this number.

Please list the names of each adult joining

Please use first and last names and include yourself in this listing.

Please list the names and ages of each child joining

Would you like to rent a table for the season

I agree to the rules and regulations of the club. I understand that my deposit is not refundable.

Please type your full name as a digital signature.

Additional Information