Form

There are currently limited openings for membership.

Form *

Application Fee *

Application Fee: $25.00
(Non-refundable)

2018 Bond and Annual Dues (link)

http://www.hideawayswimclub.com/membership/contact-membership

Marital Status *

Married Single

Married couples must both apply per our club constitution and bylaws.

Member 1 Name *

First Name Last Name

Member 2 Name

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Phone Number *

Primary Membership E-mail *

The Primary Membership Email will be used for billing and account communications as well as general club communications.

The other email addresses are optional and will be used only for general club communications.

Additional Email Addresses (for our mailing list - general club communications).

Children (dependents living at your residence born after 1995)

Adult Resident(s) (living at your residence born before 1996)

House Guest(s) (must be living at your residence)

Sitter Access Card (entrance to club permitted only with a member)

Yes

Referral Name(s)

* This is not required, but is much appreciated. Please share if you know an existing member. Thank you!

Questions

I want information about the Swim Team.

Yes

Bond Purchase Option *

Option 1 - Fully Bonded Member (Year 1 - $450) Option 2 - Associate Member (Year 1 - $200 + $25 Fee) / Balance (Year 2 - $200)

This Bond Purchase amount will not be included in the application fee payment, but invoiced by email separately along with your annual fees upon acceptance to membership.

Club Waivers and Documents *

Signature *

Verification *

Paypal Total *

Application Fee $ 25.00

Contact Membership for any issues with completing this form. Thank you!

Hideaway Swim Club