2019 Membership Application
Join Stratford Swim Club Summer 2019!
All Payments for Payment Plan must be received by May 24th. ***$25 processing fee is included in Payment Plan.
Invoice will be sent via the square within two weeks of filling out application.

Email address *
Membership Type *
Discounts
Name *
Your answer
Second Adult
Your answer
Address *
Your answer
City *
Your answer
State *
Phone *
Your answer
Family and Head of Household Memberships: Please list all your children. Couple and Single Memberships-children are not included.
Children include anyone under the age of 24, who are your children and live in your home.
Child 1
Your answer
Child 1 Birthdate
MM
/
DD
/
YYYY
Child 2
Your answer
Child 2 Birthdate
MM
/
DD
/
YYYY
Child 3
Your answer
Child 3 Birthdate
MM
/
DD
/
YYYY
Child 4
Your answer
Child 4 Birthdate
MM
/
DD
/
YYYY
List Additional Children and Birthdates
Your answer
By Checking here *
Required
A copy of your responses will be emailed to the address you provided.
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