Form

Membership Effective
June 1, 2018 - September 30, 2018

This membership provides full access at ESTC.
Full privileges include tennis, fitness center
(weight room & cardio equipment),
group fitness classes and the swimming pool.

Info for the 2018 Summer:

Snack Bar is no longer full service, we will offer cold treats only.
Party reservations have been simplified.
Lifeguards on duty for open swim according to aquatics calendar on website at estc.org.(No guards on duty after Labor Day.)
Pool Guest Fees: $5 per child | $10 per adult
Guest fees are billed to the member and will not be collected from the guest.
Annual Maintenance Club Closure - September 6th and 7th (Club will be closed all day both days for maintenance.)

Main Member *

First Name Last Name

Birthdate *

- Month - Day Year

Gender *

Billing Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Phone Number *

- Area Code Phone Number

E-mail *

Emergency Contact *

Emergency Contact Phone *

- Area Code Phone Number

Membership Type *

**Please note: All members on account must reside within the same household. Only two adults are allowed on any couple or family membership. Children must be under the age of 24 years.

Parent or Guardian *

First Name Last Name

Birthdate *

- Month - Day Year

Phone Number *

- Area Code Phone Number

Adult #2 *

First Name Last Name

Birthdate *

- Month - Day Year

Gender *

E-mail

Child #1 *

First Name Last Name

Birthdate *

- Month - Day Year

Gender *

Child #2

First Name Last Name

Birthdate

- Month - Day Year

Gender

Child #3

First Name Last Name

Birthdate

- Month - Day Year

Gender

If more than 3 children, please list names and birthdates in the space provided. For each additional child a fee of $50 will be added to your membership

Contract *

By checking this box, I acknowledge the following. This contract is for a summer membership at Eugene Swim & Tennis Club. The membership is effective from June 1, 2018 through September 30, 2018 and provides for full access to all facilities at the club during that time period. This membership is non-refundable. At times the pool, spa, fitness areas, or courts may be closed for maintenance. These closures do not entitle a member to a refund of dues paid.

Contract Cancellation *

By checking this box, I acknowledge the following. If you wish to cancel this agreement, without penalty, you may cancel it by delivering or mailing by certified mail a written notice to Eugene Swim & Tennis Club. The notice must say you do not wish to be bound by the agreement and must be delivered or mailed before midnight of the third business day after you submit this agreement. The notice must be mailed to: ESTC , 2766 Crescent Avenue, Eugene, OR 97408. If you cancel within three days, ESTC will return to you all amounts you have paid within 15 days.

Thank you for choosing Eugene Swim and Tennis Club for your 2018 Summer! Once your application is processed, we will contact you for payment. If you have any questions please contact Chris Kramer, Membership Director at chrisk@estc.org or 541-342-4414 ext. 104.

We look forward to seeing you at the pool!

2018 Summer Membership Application