NS-SC.org Online Membership Form
For questions regarding membership please contact Ken Balbuena at membershipNSSC@gmail.com or 703‐650‐9114.

After you complete this form you can pay your membership fees by either visiting the “Membership” tab at the top of the ns-sc.org and clicking on "Dues and Payments". Please send a check to North Springfield Swim Club, PO Box 1209, Springfield, VA 22151

Member Family Information - First Name *
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Middle Name
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Last Name *
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Email *
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Secondary Email Address
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Street Address *
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Street Address 2
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City *
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State *
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Zip Code *
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