ARDEN SWIM CLUB 2015 MEMBERSHIP FORM
Transcription
ARDEN SWIM CLUB 2015 MEMBERSHIP FORM
ARDEN SWIM CLUB 2015 MEMBERSHIP FORM NAME: _ STREET: CITY/ST/ZIP _ PHONE: EMERGENCY PHONE: E-MAIL _ PRIMARY MEMBERSHIP *****Children 3 and under free with paid adult membership***** ***If over 65 eligible for $25 discount on primary membership*** FAMILY MEMBER NAME DATE OF BIRTH Seasonal Member Primary Member $275.00 2nd Family Member $380.00 rd 3 Family Member $455.00 4th Family Member $500.00 th 5 Family Member $525.00 6th Family Member $550.00 th 7 Family Member $575.00 th 8 Family Member A. $600.00 TOTAL MEMBER CHARGES $___________ SECONDARY MEMBERSHIPS Secondary Memberships are for people that do not regularly living in your household but who will be using the pool under your sponsorship. In order to qualify as a secondary member the person MUST be an adult child, parent, or childcare provider for the children of the primary member or the primary member’s spouse. SECONDARY MEMBER NAME RELATIONSHIP TO MEMBER CONTACT INFO TOTALS 1st Secondary Member Phone #: Emergency #: Email: $125.00 2nd Secondary Member Phone #: Emergency #: Email: $125.00 3rd Secondary Member Phone #: Emergency #: Email: $125.00 4th Secondary Member Phone #: Emergency #: Email: $125.00 5th Secondary Member Phone #: Emergency #: Email: $125.00 B. TOTAL SECONDARY MEMBER CHARGES $___________________ ****AREDEN CLUB MEMBERSHIP REQUIREMENTS**** For insurance purposes, each pool member MUST also be a member of the Arden Club. This membership allows you to enjoy the discounts and benefits of all the other gilds such as the Shakespeare Gild, the Concert Gild, and the Dinner Gild. For additional information on the Arden Club visit their website at www.ardenclub.org . Check this box if you are member of the Arden Club and do not pay your dues through the Arden Swim Club. If the name of the Arden Club member if it is different than the Primary Member above print the Arden Club member’s name: Arden Club Membership yearly cost: ● Family $50 ● Adults ages 18-64 $20 $15 ● Adults over age 64 ● Children 3-17 $7 C. Total Arden Club Dues (required) $___________________ GUEST PASSES – PRESEASON SALE PRICE Regular season prices = Adult $10; Children over 3, $6 # _______ Adult/s @ $6 before 4/30 or $10 = ________ # _______ Children @ $4 before 4/30 or $6 = ________ D. Total PRESEASON GUEST PASS $ ___________________ E. BONDHOLDER DISCOUNT (Subtract $50.00) $ ___________________ Bond# required_____________ A+B+C+D+E=TOTAL MEMBER DUES $___________________ **Pay your 2015 dues by April 30th and we will send you 4 guest passes!** Please make checks payable to Arden Swim Club. Payment can be made online via PayPal and completed form can be emailed to Ardenswimgild@gmail.com. Or send the form with check to: Arden Swim Club C/O Elizabeth Bean 2002 Lower Ln. Arden, DE 19810 You can also access PayPal and this form on our website: www.ardenswimclub.com Please tell us how you heard about Arden Swim Club: _ If you have any questions you can contact us at: Ardenswimgild@gmail.com