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Annual Information Update
Use the form below to make any corrections to your family's information.

If you're not sure what is on file, please complete the entire form.

Email bgeiger@hhscswim.org with any questions.

Member Number *
Your answer
Last Name *
Your answer
Emergency Contact Information
List the phone number(s) we should call in case of emergency. You must provide at least one number.

Please note that our system can store a MAXIMUM of 2 numbers.If you type extras in, we will have to choose for you which we keep on file.

Emergency Contact 1 *
Enter a 10-digit phone number (###-###-####)
Your answer
Emergency Contact 2
Enter a 10-digit phone number (###-###-####)
Your answer
Registered Family Members
Please list ALL family members, including Bondholders.

Family members are defined as bondholder(s) and their spouse, children and/or parents living at the registered address. Children over 18 and parents of bondholders may be asked to prove their residency.

If you have a situation that doesn't fall under that definition please contact a Board member to see what options might be available.

All children (including those over age 18) must have a birth date on file.

Sitters and grandchildren should not be included on this form. They can be registered using the forms available on the Forms page for that purpose.

1. Last Name
Your answer
1. First Name
Your answer
1. Birthdate
MM
/
DD
/
YYYY
1. Relationship to Bondholder
2. Last Name
Your answer
2. First Name
Your answer
2. Birthdate
MM
/
DD
/
YYYY
2. Relationship to Bondholder
3. Last Name
Your answer
3. First Name
Your answer
3. Birthdate
MM
/
DD
/
YYYY
3. Relationship to Bondholder
4. Last Name
Your answer
4. First Name
Your answer
4. Birthdate
MM
/
DD
/
YYYY
4. Relationship to Bondholder
5. Last Name
Your answer
5. First Name
Your answer
5. Birthdate
MM
/
DD
/
YYYY
5. Relationship to Bondholder
6. Last Name
Your answer
6. First Name
Your answer
6. Birthdate
MM
/
DD
/
YYYY
6. Relationship to Bondholder
7. Last Name
Your answer
7. First Name
Your answer
7. Birthdate
MM
/
DD
/
YYYY
7. Relationship to Bondholder
8. Last Name
Your answer
8. First Name
Your answer
8. Birthdate
MM
/
DD
/
YYYY
8. Relationship to Bondholder
9. Last Name
Your answer
9. First Name
Your answer
9. Birthdate
MM
/
DD
/
YYYY
9. Relationship to Bondholder
10. Last Name
Your answer
10. First Name
Your answer
10. Birthdate
MM
/
DD
/
YYYY
10. Relationship to Bondholder
By submitting this form you acknowledge that you, your family, and your guests will abide by all the rules, regulations, and by-laws of the Club.
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