Skyline Swim Club Membership Application

PRIMARY MEMBER (membership bond will be issued in this name)
First Name:   Last Name:
Street Address:
Neighborhood:
City:   State:   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.