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Wembly Swim & Racquet Club 2020
Membership Application
Email address *
Membership Type *
Membership Status *
Family Name for Membership *
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Full Address
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Full Name of Primary Member *
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Cell Phone of Primary Member *
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Full Name of Spouse (Couple or Family Membership Only)
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Dependent 1 - Full Name and AGE as of June 1, 2020 (Family Membership)
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Dependent 2 - Full Name and AGE as of June 1, 2020 (Family Membership)
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Dependent 3 - Full Name and AGE as of June 1, 2020 (Family Membership)
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Dependent 4 - Full Name and Age as of June 1, 2020 (Family Membership)
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Dependent 5 - Full Name and Age as of June 1, 2020 (Family Membership)
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Dependent 6 - Full Name and Age as of June 1, 2020 (Family Membership)
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Childcare Addendum Completed (may be found on the membership page)
I/We agree to abide by all the rules and regulations of the Club with knowledge that failure to comply may result in termination of membership without refund of dues. I hereby release and hold harmless Wembly and its officers, employees, volunteers, and other participants of and from, and do discharge and waive, any and all claims, demands, losses, damages and liabilities that I may have or sustain arising out of my participation in recreational activities. I understand and appreciate that my participation carries a risk of serious injury, including permanent paralysis or death. I voluntarily recognize, accept and assume this risk. Sign and date below. *
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I have read and understand the Rules and Regulations of Wembly Swim & Racquet Club and all parties on my membership will adhere to them. Sign and date below. *
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Dues are payable in full prior to May 1st to avoid late payment fees. Memberships are non-transferable and refunds are not issued for non-usage of the facilities. Sign and date below. *
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I am interested in volunteering, please add me to the email distribution list for Volunteer Opportunities. *
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