New Application for Hideaway Swim Club

Application Fee: $25.00
(Non-refundable)

http://www.hideawayswimclub.com/membership/contact-membership
Marital Status
Married couples must both apply per our club constitution and bylaws.
Member 1 Name

First NameLast Name
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Member 2 Name

First NameLast Name
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
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)
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.
Bond Purchase Option
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

Application Fee$25.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Contact membership by emailing membership@hideawayswimclub.com for any issues. Thank you!
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