Skyline Swim Club Membership Application
PRIMARY MEMBER
(membership bond will be issued in this name)
First Name:
Last Name:
Street Address:
Neighborhood:
City:
State:
DE
PA
MD
NJ
Zip:
Phone:
Email:
Cell Phone:
Employed by:
Occupation:
SPOUSE
First Name:
Last Name:
Email:
Cell Phone:
Employed by:
Occupation:
OTHER MEMBERS OF HOUSEHOLD
(children, etc.)
First Name:
Last Name:
Birth Date:
Relationship:
First Name:
Last Name:
Birth Date:
Relationship:
First Name:
Last Name:
Birth Date:
Relationship:
First Name:
Last Name:
Birth Date:
Relationship:
First Name:
Last Name:
Birth Date:
Relationship:
RECOMMENDED BY:
every applicant must be recommended by at least 2 active members of Skyline Swim Club. Provide their names below.
Active Member 1:
Active Member 2:
Click the submit button below and mail your
$30
non-refundable application fee to: Cami Pisklak, 14 Pine Grove Ln, Hockessin, DE 19707.
Make checks payable to
Skyline Swim Club
. You will be placed on the wait list once your $30 check is received.
It is understood that purchase of a $290 bond is necessary before membership is granted.
Dues in the amount set forth by the Board of Directors also must be paid annually.