RIVER GLEN SWIM CLUB
2024 MEMBERSHIP APPLICATION
NAME:____________________________________________________________________________________
ADDRESS:_________________________________________________________________________________
CITY:_________________________________________STATE:______________________ZIP:_____________
HOME PHONE:______________________________BUSINESS/CELL PHONE:_________________________
E-MAIL;____________________________________________________________________________________
FEES ARE AS FOLLOWS:
Individual or first household member $370
Each additional household member $95
Household members are family members who reside in the Individuals home or full time nannies. All children 1 year old and older are required to have a membership.
Guest Passes may be pre-purchased with Membership Application for $9. In-season Guest Passes are $10.
Membership cards will be available for pick-up at the pool on or after May 25th.
If you are planning a gathering during regular business hours and expect more than 10 attendees, please inform Stephanie at 317-441-6275 so that we can have adequate staffing.
Please note the ages (at 6/01/24) of all children with a swim membership. Also, print the exact name as it should appear on each membership card. Thank you!
1st MEMBER NAME $__________
2nd MEMBER NAME AGE ______ $__________
3rd MEMBER NAME AGE ______ $__________
4th MEMBER NAME AGE ______ $__________
5th MEMBER NAME AGE ______ $__________
6th MEMBER NAME AGE ______ $__________
GUEST PASS PURCHASE: AMOUNT OF PASSES _________ X $9.00 $__________
TOTAL $__________
COMMENTS/SUGGESTIONS:____________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
CHECK NO:_____________________________ MAKE CHECKS PAYBLE TO: RIVER GLEN COUNTRY CLUB
Due to increased regulations of credit card usage, River Glen is unable to accept credit card payments via mail. Credit card payment may be made in person in the Pro Shop.
BY MY SIGNATURE, I INDICATE THAT I UNDERSTAND THE NO REFUND POLICY AND THAT I SHALL ABIDE BY ALL RULES AND REGULATIONS OF THE MANAGEMENT.
Signature:______________________________________________________________Date:__________________
PLEASE RETURN TO: RIVER GLEN COUNTRY CLUB, 12010 CLUBHOUSE DRIVE, FISHERS, IN 46038.
QUESTIONS PLEASE CALL: 317-441-6275