2024 Eldwick Swim & Tennis Club Membership Application
 
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Email *
Name *
Address *
Home phone #
Cell phone # (adult 1) *
Cell phone # (adult 2)
Email address (adult 1) *
Email address (adult 2)
Adults Living in Household  - please include first and last names (List All 19 & Over) *
Children Living in Household - please include first and last names, as well as the age of the child (List All 18 & Younger)
Membership options (please choose one) *
OPTIONAL VOLUNTARY DONATION (If your family enjoys summers at Eldwick, a voluntary donation of $50 or more is greatly appreciated)
TOTAL TO BE PAID to Eldwick Swim Club *
Notes:
*  As part of MCSL summer swim league, Eldwick offers an exciting swim team for age 4-18! Join in today and experience the fun! For more information, visit https://www.eldwickswimteam.org/ or contact our swimming team representative at eldwickswimrep@gmail.com.
Medical Release Authorization and Liability Waiver:
I give my consent and approval to the Eldwick Swim and Tennis Club and employees or agents of their authorized pool management company to act on my behalf in securing emergency medical attention for the above individuals from a licensed hospital or physician.  The undersigned hereby assumes all risk of injury or harm as a result of pool membership and pool usage and agrees to release, indemnify, defend, and forever discharge Eldwick Swim Club and its board members, Eldwick Homes Association and its board members, and Eldwick's selected pool management company from all liability, claims, and demands.
Please sign the above consent by typing your name and date below *
Payment options *
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