MSC Swim Club - Potomac, Maryland

	Opening Day May 24
	Memorial Day Potluck May 26
	School's Out Party June 13
	Raft Night June 21
	July 4th BBQ Potluck July 4
	Pasta Potluck & Talent Show July 11
	Wine & Cheese Party July 12
	Bake Off July 15
	Bingo Night TBD
	Labor Day BBQ September 1
	Ice Cream Social September 1
	Family Pizza & Movie Night TBD


	Relaxed and Comfortable Setting
	Up and Coming Seahawks Swim Team
	Pre-team for Young Children
	25 Meter Pool w/ 2 Dedicated Lap Lanes

ON-LINE REGISTRATION
Membership Form (PDF)

PLEASE COMPLETE FORM.

The undersigned hereby apply for New Membership in the MSC Swim Club and agrees as follows:

1. The applicant applies for (choose one):

FAMILY BONDED Membership
	$635	2008 Membership Fee
+	$250	Minimum Renovation Fee ($750 payable over 3 years)
+	$200	Minimum Bond Payment
	$1,085	TOTAL

FAMILY SUMMER Membership
	$695	2008 Membership Fee

EMPTY NESTER Membership
	$475	2008 Membership Fee
+	$250	Minimum Renovation Fee ($500 payable over 2 years)
	$725	TOTAL

EMPTY NESTER SUMMER Membership
	$550	2008 Membership Fee

SINGLE Membership
	$350	2008 Membership Fee
+	$250	One-time Renovation Fee
	$600	TOTAL

SINGLE SUMMER Membership
	$425	2008 Membership Fee

HEAD OF HOUSEHOLD
First Name	Last Name


SPOUSE'S NAME
Spouse's First Name	Spouse's Last Name

STREET ADDRESS

CITY	STATE	ZIP

PHONE NUMBERS	E-MAIL

COMMENTS


CHILDREN'S NAMES AND DATES OF BIRTH (DOB)
Child 1 Name	Child 1 DOB


Child 2 Name	Child 2 DOB


Child 3 Name	Child 3 DOB


Child 4 Name	Child 4 DOB


Child 5 Name	Child 5 DOB


Child 6 Name	Child 6 DOB


EMERGENCY CONTACTS
Emergency Contact 1	Contact 1 Telephone

Emergency Contact 2	Contact 2 Telephone

Emergency Contact 3	Contact 3 Telephone

Emergency Contact 4	Contact 4 Telephone

Emergency Contact 5	Contact 5 Telephone

2. Upon approval of this application by the MSC Swim Club Board of Directors, the applicant will be admitted as a member of the Corporation with all rights, privileges, and obligations thereof as set forth in the MSC Swim Club bylaws.

3. Applicant agrees to abide by the MSC Swim Club by-laws and agrees to be bound thereby. Applicant also agrees too abide by the Pool Rules and Regulations.

4. The applicant understands that if for any reason this application is rejected, the accompanying membership fee will be returned.

By submitting this form, the applicant(s) agree to the terms and conditions listed above: