Dorchester Swim & Tennis Club – Single Plus Membership Application

Dorchester Swim & Tennis Club – Single Plus Membership Application
Primary Applicant's Full Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Applicant's Occupation
Primary Applicant's Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Applicant's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Membership Sponsors
Sponsor 1 – Full Name

First NameLast Name
Sponsor 1 – Email Address
example@example.com
Sponsor 2 – Full Name

First NameLast Name
Sponsor 2 – Email Address
example@example.com
Membership Fees & Obligations
Single Plus Membership – Fees & Obligations

Annual dues for a Single Plus Membership are $625 for the 2026 season. This membership includes one stockholding member and the privilege of bringing one complimentary guest per day for unlimited visits throughout the season, subject to club rules.

Single Plus members are required to own one share of club stock ($75) and participate in the club's annual workday or pay the $100 workday fee.

Existing members who have not paid their annual dues by May 1 are subject to a 15% late fee. New members joining after May 1 are eligible for prorated dues and are not assessed the late fee for joining after that date.

Membership is subject to verification of two current member sponsors and approval by the Board of Directors. Applicants must also submit a $25 refundable application deposit before their application can be forwarded to the Board for consideration. The deposit will be refunded if the application is not approved.

All members agree to comply with the club's bylaws, rules and regulations, and applicable financial obligations.
Membership Agreement & Acknowledgment
By submitting this application, I/we acknowledge and agree to the following:

I/we understand that this application is subject to the Bylaws and Rules & Regulations of Dorchester Swim & Tennis Club.

I/we understand that submitting an application does not guarantee membership. All applications require approval by the Board of Directors, and membership privileges will not begin until approval has been granted, the applicant has been notified, and all applicable dues and fees have been paid.

If approved, I/we agree to abide by the Club's current Bylaws and Rules & Regulations, including any amendments adopted in the future.

I/we acknowledge that I/we have reviewed the membership fees and financial obligations described above.

I/we certify that the information provided in this application is accurate and complete to the best of my/our knowledge.
Membership Agreement Confirmation
Primary Applicant's Signature
Application Deposit – $25

A $25 application deposit is required for all new membership applications. This deposit must be received before your application can be submitted to the Dorchester Swim & Tennis Club Board of Directors for approval.

The deposit is refundable if your application is not approved.

Payment Instructions

Please make checks payable to Dorchester Swim & Tennis Club and mail your $25 deposit to:

Dorchester Swim & Tennis Club
P.O. Box 23672
Belleville, IL 62223

Alternatively, the $25 application deposit may be delivered in person by arranging a convenient time with a Dorchester Swim & Tennis Club representative. Please contact the club to coordinate payment.

Important: You may submit this online application before making your payment. However, your application will remain pending until the $25 deposit has been received. Once payment is received and the application is complete, it can proceed to Board review.
Should be Empty:

Dorchester Swim & Tennis Club – Single Plus Membership Application

Membership Sponsors

Membership Fees & Obligations

Membership Agreement & Acknowledgment