2024 Stratford Swim Club Application 
Sign in to Google to save your progress. Learn more
Email *
Membership Family Name *
Membership Information
*Couple Memberships: TWO ADULTS living in the same household.   You will be asked to verify residence.
*Family Memberships: TWO ADULTS and FOUR Children(between 2 and 24)  living in the same household. You will be asked to verify residence.  **Families with over four children in the household $50

***Extra Adult in Household $300 (aunt, uncle, cousin with same legal address as members

Grandparents are free with family and do not receive a card.

Babysitting Fees
Babysat Children 13 and under  is $150 per child (only permitted to  come with the member babysitter)
Babysitter (14 and older) :$175 Only permitted to come when babysitting the members children


15% Discount for First Responders. 
15% Discount for Teachers who are New Members

Member Incentive....encourage NEW families to join the Stratford Swim Club.  You will receive a $100 credit on your membership, limited to $200 credit on 2025 membership/swim team fees. 
***NEW Members are members who have not belong to the club in 2021, 2022, or 2023
Membership Type(refer to the chart as to what your payment will be)    *
Captionless Image
Bonded?  
Clear selection
Payment Options
Clear selection
*NEW Member Drive: 
Is there a 2024 member that recommended you to join? 
$100 credit to a current member who recommended you (the new member) to join Stratford Swim Club.  If Applicable, please list the member below, full name)
Discount Offer -will be verified with ID when cards are picked up. (first responder/military or other offer advertised)  please specify or leave blank *
Adult #1 Name *
Adult #1 Cell number
Second Adult
Adult #2  Cell phone number
Address *
City *
State *
Phone *
Family and Head of Household Memberships: Please list all your children.  Couple and Single Memberships-children are not included.
Children include anyone under the age of 24, who are your children and live in your home.
Child 1
Child 1 Birthdate
MM
/
DD
/
YYYY
Child 2
Child 2 Birthdate
MM
/
DD
/
YYYY
Child 3
Child 3 Birthdate
MM
/
DD
/
YYYY
Child 4
Child 4 Birthdate
MM
/
DD
/
YYYY
List Additional Children and Birthdates
List Additional Children and Birthdates  (Each additional Child is $50 additional membership fee)
Babysat Children on your membership $150 per child
Name of Babysitter   Additional $175  on membership,   may only enter the club with members  
Name of Additional Adult on membership $300  Must show proof of residence with members.
Notes/Comments/Questions
I understand I (my family and my guest)must follow all Stratford Swim Club Rules.  If I(we) do not, I understand I(we) will be asked to leave.  For repeat offenses, my membership will be revoked and dues will NOT be refunded. *
Required
Invoices are sent weekly.  
By Checking here…
*
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy