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 *
Bondholder First Name *
Spouse's Name
Names & Ages of Children *
Address *
City *
State *
Zip Code *
Phone Number *
Additional Phone Number
Best Emergency Contact Name & Phone Number *
Email Address *
Additional Email Address
Membership Level *
Type of Payment *
Check Number (if paid using Zelle or any online form of payment, please type N/A) *
Online Payment Confirmation Number (if paid by check, please type N/A) *
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 *
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