Sunset Swim Club Application

Print the following application, then submit at Clubhouse.

Name:______________________________________

Address:________________________________________

City:____________________          State:__________________

Age:_____________     under 18 requires legal guardian's signature

Phone number:__________________________

Person to contact incase of emergency:___________________________ Ph:_____________________

Number in Family that will have access to facilities:_____________

Payment is due at time of acceptance.  Cancelled checks subject to a $25.00 return check fee and will cancel membership immediately until payment is made.  Use of pool and grounds is solely at users responsibility and rules must be observed or membership will be revoked while forfeiting fees paid.  Accidents must be reported immediately.

I (we) agree to the rules of this application and will abide by them at all times.

Printed Name:______________________________________       Date:__________________

Signature:_________________________________________

Signature of legal guardian if applicant is under 18:______________________________

Mail completed form with check made out to:

SUNSET SWIM CLUB

14128 Mooresville Road

Athens, AL 35613

Phone 256-232-7455