Full Season Premium Membership: RSC GOLD
The Place To Be In 2015 215-357-9567 750 Second Street Pike • Richboro PA 18954 RichboroSwimClub.com Full Season Premium Membership: RSC GOLD LAST NAME FIRST E-MAIL ADDRESS ZIP TOWN 2015 YEAR PHONE PLEASE READ CAREFULLY AND SIGN BELOW Application for Annual Membership is hereby made to Richboro Swim Club. I/we agree that if elected to membership by the committee, to abide by all the rules and regulations of the club. I agree to release the club and property owners from all liability from my, or my guests' participation in any sport, exercise or activity of the club. SIGNATURE____________________________________________ Full Name (including signer above) Birth Date MO/DAY/YR SEX (M/F) I am paying in FULL - Amount Due (Circle one from chart below) R IC H BORO S WIM C LUB 2015 M EM BERSH IP SCH EDU LE Single.................................................................$559 Family of 2........................................................$817 Family of 3*......................................................$917 Family of 4*......................................................$1017 Each member over four people*.......................$97 Senior Citizens (single over 60)........................$397 Couple both over 60..........................................$497 Teenagers (14 thru 18)†....................................$257 Children under 2 on June 1, 2015....................No Charge *Family memberships may include members of immediate family or live in caregivers residing at the same address. +Includes Club Swim Team fee, if applicable. Swim and Diving Team Fees—$44 per child per sport (swimming and or diving). Guest fees—Weekday and Weekend/Holiday guest fees for adults and children are based on membership type (see above). After 5:00 pm, adults and children $7 for all membership types. Members under 18 limited to 1 guest daily. Special 10 pass guest card available and priced based on membership type. Guest card good anytime during 2015 season. Discount rates apply for memberships PAID IN FULL by discount dates. No refunds (except for new member early season trial offer). Your cancelled check, credit card or cash payment receipt is proof of acceptance of membership. The club uses a computerized ID system. Your photos will be taken on one of your first visits to the Club. Children under 14 years old may join only with another family member who is 21 years or older. Children 14 and over are required to bring proof of age to join as an individual. Check enclosed for payment in full in the amount $ ________ or please charge to my ____ VISA ____ MasterCard # ______________________ Expiration Date ___________ CID # _________ (last 3 digits on signature panel)
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