Dulaney Swim Club Membership Application
Please fill out this form to apply for membership:

Membership Types:

FAMILY MEMBERSHIP
Husband and/or wife and all unmarried children living at home
$ 425 for Dulaney Swim Club Bond
$ 550 Annual dues
$ 425 Initiation fee
$1,400 Total Due 1 year ***

SINGLE MEMBERSHIP
$ 200 for Dulaney Swim Club Bond
$ 290 Annual dues
$ 425 Initiation fee
$ 915 Total Due 1 year ***

Membership Type *
Applicant's Full Name *
Your answer
Husband or Wife Full Name (if applicable)
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone number *
Your answer
Email *
Your answer
Name/Date of Birth for unmarried Child #1 living at home to be included on membership:
Your answer
Name/Date of Birth for unmarried Child #2 living at home to be included on membership:
Your answer
Name/Date of Birth for unmarried Child #3 living at home to be included on membership:
Your answer
Name/Date of Birth for unmarried Child #4 living at home to be included on membership:
Your answer
Name/Date of Birth for unmarried Child #5 living at home to be included on membership:
Your answer
Name/Date of Birth for unmarried Child #6 living at home to be included on membership:
Your answer
REFERRAL - In order to be considered for membership, applicants must be referred by an existing member of the Dulaney Swim Club. Please provide the name(s) of your referring existing DSC member(s) here: *
Your answer
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