Zelle Form

Swim Club Membership Registration (Zelle Payment)

Please send your payment via Zelle before submitting this form. Your membership will be activated once the payment is verified.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please fill out the details below for each child included in your membership .
Emergency Contact:
ZELLE PAYMENT INFORMATION

Send Zelle payment to:
DemarestSwimClub@gmail.com

Include the member’s name in the memo.
Amount sent via Zelle
Zelle name used to send the payment
(Example: name on the bank account or the person who sent the Zelle)
Date payment was sent

MonthDayYear
Date
LIABILITY WAIVER
I understand that use of the pool facilities is at my own risk.
The club is not responsible for injuries, accidents, or lost items.
I agree to follow all club rules and safety regulations.I understand that use of the pool facilities is at my own risk. The club is not responsible for injuries, accidents, or lost items. I agree to follow all club rules and safety regulations.
Signature
Should be Empty:

Swim Club Membership Registration (Zelle Payment)