Hickory Hill Swim and Tennis Club Membership Application
Celebrating Over 50 Years of Family Fun!


**All fees must be paid in full before use of the facilities will be granted.**


Any questions, email membership@hickoryhillswim.com

Date of Application
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Application Type
Please choose one.
Last Name
Your answer
Address
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Town, State, Zip Code
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Home Phone Number
XXX-XXX-XXXX
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First Name
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Work Phone
XXX-XXX-XXXX
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Email Address
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Mobile Phone
XXX-XXX-XXXX
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Employer
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Occupation
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First Name (Spouse)
Your answer
Work Phone (Spouse)
XXX-XXX-XXXX
Your answer
Email Address (Spouse)
Your answer
Mobile Phone (Spouse)
XXX-XXX-XXXX
Your answer
Employer (Spouse)
Your answer
Occupation (Spouse)
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Unmarried Children Living at Home
Name of 1st Child
Your answer
Date of Birth
MM
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DD
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YYYY
Name of 2nd Child
Your answer
Date of Birth
MM
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DD
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YYYY
Name of 3rd Child
Your answer
Date of Birth
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DD
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YYYY
Name of 4th Child
Your answer
Date of Birth
MM
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DD
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YYYY
Name of 5th Child
Your answer
Date of Birth
MM
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DD
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YYYY
Name and relationship of others residing with you:
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References
Names and addresses of Current Members or other References
1.
Your answer
2.
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3.
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How did you hear about the Club?
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Signatures
I hereby submit application for membership in Hickory Hill Swim & Tennis Club, Inc. and agree by its laws and regulations. I agree in the event the Club shall become liable for the payment of Federal Excise Tax, such tax shall be added to and become part of my dues.
Initials of Applicant
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Initials of Applicant (Spouse)
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