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                                                                                         $420

Each additional household member                                                                                             $105

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