Family Form

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Family Full Season

$1,100.00

Family Sat/Sun Only + 3 Holidays

Sat/Sun only + Memorial Day, July 4, and Labor Day. Not eligible for Swim/dive team or swim lessons. (Considered nonmembers on weekdays.)

$710.00

Family First Half (Memorial-Aug 2)

$900.00

Family Second Half (Aug 1-Labor Day)

$625.00

Nanny//Babysitter

$100.00

Grandparent

Up to 2 living at the same address (Proof of residency)

$100.00 Quantity

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Subtotal

Tax

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

For Credit Card payment (4% fee) fill out registration form below.

For Zelle, Venmo, or check payments click green button below for registration form.

TO AVOID CREDIT CARD FEES: Form for Zelle, Venmo or Check payments

Applicant Name

First NameLast Name

Email

example@example.com

Spouse's Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Please fill out the details below for each child included in your membership.

Nanny / Babysitter (additional fee, can be selected as an add on to membership above)

Full NameDOB

Grandparent 1 (additional fee, can be selected as an add on to membership above)

Full NameDOB

Grandparent 2 (additional fee, can be selected as an add on to membership above)

Full NameDOB

If you are a new member, who referred you?

Liability / Rules

I understand that I am responsible for myself, my family members, and my guests in accordance with the Demarest Swim Club’s rules, regulations, and by-laws, and I agree to hold harmless and indemnify the DSC against liability on account of my conduct or that of my family members and/or guests. I also understand that if I, my family member, or my guests violate the DSC’s rules my membership may be suspended or revoked at the discretion of the Board of Trustees. I swear that the above information &#13;&#10;&#13;&#10;&#13;&#10;

Signature

Pool Membership Registration

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