Hillandale Swim and Tennis Membership Form

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As of June 3, 2021, we are nearing capacity. If you would like to become a member, please complete and submit this membership form, but please note submitting the form does not guarantee membership. Forms will be processed in the order they are received. NOTE: Payment will not be accepted until you are contacted by our Membership Chair.

Name *

Address *

Email address #2

Phone number *

Immediate Family Member Name #1 (include spouses and children)

Immediate Family Member Name #2

Immediate Family Member Name #3

Immediate Family Member Name #4

Immediate Family Member Name #5

Membership Category *

Family Membership (1 adult and child or children) $485

Family Membership (2 adults and child or children) $545

Household Membership (One person) $385

Household Membership (Two people) $485

Not Sure (contact HSTAmembership@gmail.com)

Other:

Required

I would like to add All-season Court Access (Labor Day 2021 to Memorial Day 2022)

Yes (I will add $100 to my total)

Clear selection

I would like to add $100 Maintenance Fee *

Yes - I will add an optional $100 to my total rather than attending a work day

No thanks - I plan to attend a work day on 4/17, 5/15 or 5/16 to help get the pool ready

Other:

Payment Information *

Paying by check (check payable to HSTA) - mail to HSTA c/o Suzanne Voelker, 10119 Riggs Road, Adelphi, MD 20783

Paying online (additional fee applies)

Where did you hear about our pool? *

Current Member

Our website

Our Facebook page

Other:

Required

Submit

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