Membership Application Form

Name
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Billing Address (if different from Home Address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
2021 Membership Rates
(Please note there is a one time registration charge for new members; $100 per family or $50 per individual, which would be waived if dues are paid in full by May 1st.)
Tennis & Swim
- None
- Family Membership* (per Family) - $1,800
- Individual Membership (per person) - $775
Tennis Only (NEW)
- Family Tennis Only - $1,300/family
- Individual (full week) - $700/person
- Individual (weekdays only) - $600/person
Swim Only
- Family Swim Only - $1300/family
- Swim Individual - $525/person
- Babysitter/mother’s helper - $300
*Family memberships include 2 adults and 2 children in the same household; additional children $25 per child.
Total
Family Members
Name Relationship Date of Birth

To add more rows, click the "+" icon at the right of the last row.
Terms and Conditions*
- I have read and understood the Terms and Conditions
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(860) 354-7876

Name	Relationship	Date of Birth