Shannon Park Swim Club
MEMBERSHIP APPLICATION – WINTER/SUMMER 2018
Last Name *
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First Name *
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Phone No. *
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Alternate Phone No.
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Email address *
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Mailing address *
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Membership Type *
All family member names *
(List names on separate lines)
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List any significant health issues
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Referred by a friend? Tell us who!
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Would you be interested in volunteering for our new community outreach program? We're looking for sponsors and guardians for neighborhood children. Please indicate your interest and we will be in touch with more information.
Signature (digital)
The undersigned agrees that upon admission he⁄she has read and will abide by all rules, regulations and laws of the club (http://shannonparkpool.com/pool-rules).
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