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Mountainbrook Swim & Racquet Club
2021 Membership Application Form
Membership runs from 3/1/2021 - 2/28/2022 (late fee of $50 applies if renewal is received after March 15)
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Last Name
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Your answer
First Name
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Your answer
Last Name Spouse/Partner
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First Name Spouse/Partner
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Address
*
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City
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Charlotte
Matthews
Mint Hill
Waxhaw
Tega Cay
Fort Mill
Monroe
State
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NC
SC
Zip
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Subdivision
*
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Primary Phone
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Alt. Phone
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Email
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Child 1 Name
Your answer
Child 1 Date of Birth
MM
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DD
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YYYY
Child 2 Name
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Child 2 Date of Birth
MM
/
DD
/
YYYY
Child 3
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Child 3 Date of Birth
MM
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DD
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YYYY
Child 4
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Child 4 Date of Birth
MM
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DD
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YYYY
Child 5
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Child 5 Date of Birth
MM
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YYYY
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