RVSC 2019 New Member Registration
Please fill in all applicable information below. Once you submit this registration form you will receive an invoice from RVSC
Last Name *
Your answer
First Name *
Your answer
Adult 2 Name
Your answer
child 1
Your answer
birth date
MM
/
DD
/
YYYY
child 2
Your answer
birth date
MM
/
DD
/
YYYY
child 3
Your answer
birth date
MM
/
DD
/
YYYY
child 4
Your answer
birth date
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email address(es) for e-newsletter *
Your answer
Phone number *
Your answer
Full Membership Packages
Swim Team Only (STO) Packages
Evening Only Packages
August Only Packages
Payment Method *
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