Please print out this form, complete and
mail with your check to:

Hunt Valley Swim Club
P O Box 2083
Springfield, VA  22152


www.HuntValleySwimClub.org
703-455-1224 (Information Line)

Membership Registration List Form

Last name  
First name  
Spouse's name  
Street address  
City, State, Zip  
Phone Number  
email  
Date  
List All Family Members

         Birthdates

   
   
   
   
   

 

X

 Membership Registration Fee (Required) $25.00
 

 

 2008 Full Season Temporary Memberships are $425.00. Bills will be sent out in March and will be due in May.   
 

Total Enclosed

 $25.00

 

Please forward completed form and check by mail to the following address.

Hunt Valley Swim Club
Attn:  Membership Chair
P O Box 2083
Springfield, VA  22152

Postmark date will be used to register your family in the club's membership registration list.