Guest Membership Form

Oaklyn Swimming Club,Inc.                                                                                       

P.O  Box 92       Oaklyn, New Jersey   08107

Welcome to the 2011 Oaklyn Swim Season

Guest Membership

PLEASE READ AND FILL OUT CAREFULLY:

1.       DO NOT TEAR SHEETS IN HALF

2.       ALL INFORMATION MUST BE FILLED OUT

        ALL PAYMENTS MUST BE MAILED TO:

                OAKLYN SWIMMING CLUB, INC.

                P.O. BOX 92

                OAKLYN, NEW JERSEY   08107

GUEST  FAMILY……………………   $300.00

GUEST INDIVIDUAL………………    $150.00

SR COUPLE ……………………..…   $175.00

SR INDIVIDUAL…………………….   $115.00

MEMBER  FAMILY NAME:

ADDRESS:

PHONE NUMBER (HOME / WORK):

EMERGENCY CONTACT:

EMERGENCY PHONE NUMBER:

E-MAIL ADDRESS:

YOU MUST LIST THE NAMES OF ALL PERSONS, USE BACK IF NEEDED

^{(DO NOT TEAR)}

                                                                                                                                   

 _{NAME                                                                                                            AGE}  

 _{NAME                                                                                                            AGE}      

                             

 _{NAME                                                                                                           AGE} 

_{NAME                                                                                                            AGE}  

 _{NAME                                                                                                            AGE}    

                               

 _{NAME                                                                                                            AGE} 

_{Breakdown of payment}

_{Dues                                                                               ________}

_{Guest passes- $3.00 each Max of 10                            ________}

_{After May 1st  add                                                            25.00}

_{Total Paid                                                                        ________}

_{Date ______  Check #}   

ANY QUESTIONS, EMAIL US AT oaklynswim@hotmail.com , OR CALL (856) 854-9895 AFTER APRIL 30, 2011. If you need immediate assistance please contact Club President Sharon Brandley at 856-869-9269. Thank You