HSTC Membership Form 2023
Huntington Swim and Tennis Club Membership Information and Contact Form
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Bondholder Family/Last Name *
Bondholder (Primary) First Name *
Bondholder (Secondary) First Name
Street Address *
City *
State *
Zip Code *
Email | Bond Holder (Primary) *
Email | Bond Holder (Secondary)
Phone Number | Bond Holder (Primary) *
Phone Number Type | Bond Holder (Primary) *
Phone Number | Bondholder (Secondary)
Phone Number Type | Bondholder (Secondary)
Phone Number | Other
Phone Number Type | Other
Emergency Contact | Name *
Emergency Contact | Phone Number *
Emergency Contact | Phone Number Type *
Total number of household members (including bondholder(s)) *
Household Member/Children Names & Ages
Please provide the names and ages of any/all *non-bondholder* household members and/or children in the questions below.

Please leave blank if it does not apply (e.g. no additional names beyond bondholder(s), or the amount of household members/children is less than the number of potential responses provided).
Household Member/Child (1) Name
Household Member/Child (1) Age
Household Member/Child (2) Name
Household Member/Child (2) Age
Household Member/Child (3) Name
Household Member/Child (3) Age
Household Member/Child (4) Name
Household Member/Child (4) Age
Household Member/Child (5) Name
Household Member/Child (5) Age
Additional names & ages of household members/children if amount is greater than 6
Caregiver/Nanny:
Emergency Contact Name
Emergency Contact Number
2023 Membership Level
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Payment Options | Annual Membership Dues
Electronic payments may be sent to the pool via the huntingtonpool@gmail.com email address using the following platforms:
Zelle
Paypal*

Check payments may be mailed to:
HSTC
PO BOX 201
Naperville, IL 60566

*If paying via PayPal please indicate the payment is being sent to Friends/Family (the pool is charged a transaction fee if not). When using PayPal a 2.99% fee for the use of a Credit Card or Debit Card. If using either please send the following amounts:

Equity Membership: $618.50
Maintenance Membership: $310
Trial Membership: $722
Payment Type *
Payment Amount (please include additional transaction fees as outlined above) *
Check Number (enter N/A if NOT paying by check) *
Electronic Payment Transaction Number (enter N/A if paying by check) *
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