RSC Waitlist Form

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RSC Waitlist Form

Thank you for your interest in the Richland Swim Club. Please fill out the form below and then pay
the $75 non-refundable deposit either by PayPal on our website (fees included) or by mailing a check(made out to "The Richland Swim Club") to the address below. At that time, you will be placed on the waiting list and as memberships start to open, we will begin offering them to names first on the waiting list and you will be contacted at that time. First year dues will include your bond payment $500 plus applicable yearly membership dues. Bond value is refunded upon membership resignation.

Membership Dues:
- Family (2 parents and children residing in household under the age of 18)
$675.00

- Single Adult Member
$375.00

- Jr/College Student Membership (age 18 to 24, but still residing at home with active family
membership)
$60 for each child turning 24 years of age by April 20

- Honorary Member
$315.00

The $75 non-refundable Wait List Application deposit can be made using PayPal on our website (+ PayPal processing fee) or a check made out to "The Richland Swim Club" may be mailed to:

The Richland Swim Club
P. O. Box 116
Gibsonia, Pennsylvania
Attn: Membership Chair

Phone: 724.443.5221
Email: membership@therichlandswimclub.org
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Email *

Membership Requested *

Name (Last) *

Name (First) *

Phone Number (Home)

Phone Number (Cell) *

Address (Street Number and Street, City, State, Zip) *

Enter Check Number or PayPal (Waitlist application will be processed once funds have been received) *

Submit

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