Darley Swim Club Returning Member Form
Membership Form for RETURNING Darley Swim Club Members - If paying by Paypal you MUST send as to a friend and NOT for goods and services.  Paypal requires proof of shipping for payments for goods and services.  Thank you!
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What is your Family's Last Name? *
What is your First Name? *
What is your Spouse's Name? (if applicable)
What is your Address? (Please include City, State and Zip code) *
What is your Phone Number? *
What is your email address? *
What is your Occupation and Who is your Employer? *
Please List your children's names and dates of birth
How many people are included on your membership? *
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