Huntington Swim & Tennis Club 2019 Season Registration Form
Please fill out the following form for your Huntington Swim and Tennis Club 2019 Registration.

When paying with Zelle or any sort of online form of payment, please be sure to write the following as your Memo - "Membership Last Name" 2019 HSTC Dues

Thank you,
HSTC Board

Email address *
Bondholder Last Name *
Your answer
Bondholder First Name *
Your answer
Spouse's Name
Your answer
Names & Ages of Children *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Additional Phone Number
Your answer
Best Emergency Contact Name & Phone Number *
Your answer
Email Address *
Your answer
Additional Email Address
Your answer
Membership Level *
Type of Payment *
Check Number (if paid using Zelle or any online form of payment, please type N/A) *
Your answer
Online Payment Confirmation Number (if paid by check, please type N/A) *
Your answer
Proxy Vote: If you are unable to attend the April 16th, 2019 Board Appointment Meeting at 7:30 pm at Prairie Elementary, please mail this proxy to the pool’s P.O. Box shown above by April 7th. This will constitute a proxy vote on behalf of the proposed slated Board of Directors: Bill Palm, Mike Mutrie, Betsy Schrubbe, Dana Hall, Steve Wattles, Jeanette Hacker, Lani Lyons, and Pat Driscoll *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service