2023 Summer Break Swim Club Membership

2023 Summer Break Swim Club Memberships
Summer Break 2023 General Information

Membership Fees (1/1/23-7/15/23) Membership Fees (after 7/15/23)

$125 PER PERSON first 4 members $100 PER PERSON first 4 members

$50 each additional person $50 each additional person

Please note the following:

* Children age 0-2 are FREE and must still be listed on the membership.

* Primary member MUST be 18 years of age or older. NO MINORS can have an individual membership.

* Guest Passes: 5 single use guest passes are INCLUDED with each family membership before 7/15/23. Additional guest passes can be purchased (in advance on this form or at the door) for $5 (only valid for 2023).

* Guests MUST be accompanied by a member at all times.

* Membership cards and guest passes are not mailed. Cards are picked up at the pool front desk your first visit. Please bring photo ID for pick up.
Primary Member (over age 18)*

First NameLast Name
Age as of May 28 Primary Member (must be 18+)
2nd Member (Adult or child)

First NameLast Name
Age as of May 28Relationship to Primary Member
3rd Member

First NameLast Name
*

Age as of May 28Relationship to Primary Member
4th Member

First NameLast Name
*

Age as of May 28Relationship to Primary Member
5th Member

First NameLast Name
*

Age as of May 28Relationship to Primary Member
6th Member

First NameLast Name
*

Age as of May 28Relationship to Primary Member
7th Member

First NameLast Name
*

Age as of May 28Relationship to Primary Member
8th Member

First NameLast Name
*

Age as of May 28Relationship to Primary Member
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

I, the undersigned and all family members listed on this form, acknowledge and understand that NO REFUNDS will be given. Each member MUST present a Membership Card and photo ID for entry. Membership Cards are not transferable and may only be used by the member. Summer Break is not responsible for lost or stolen items.
Signature

Clear

My Products*

Individual MembershipMembership is charged PER PERSON. Please select number of family members you are wishing to join. $125- single, $250- 2 people, $375 - 3 people, $500 4 people, $550- 5 people, $600- 6 people, etc)

$125.00 Quantity

FREE Child Member (age: infant, 1, 2)

$ Free Quantity

Additional Guest Punch Card- includes 5 guests Product Image

Additional Guest Punch Card- includes 5 guestsThis is a discounted card. Buy 4 get one FREE!

$40.00 Quantity

Enter coupon

Subtotal

$0.00

Shipping

$0.00

Total

$0.00

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2023 Summer Break Swim Club Memberships

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