2012 Oaklyn Swim Season

2012 Membership

Oaklyn Swimming Club, Inc.P.O. Box 92
Oaklyn, New Jersey08107

Welcome to the 2012 Oaklyn Swim Season

PLEASE READ AND FILL OUT CAREFULLY:
ALL INFORMATION MUST BE FILLED OUT

ALL PAYMENTS MUST BE MAILED TO:

OAKLYN SWIMMING CLUB, INC.

P.O. BOX 92

OAKLYN, NEW JERSEY08107

 FAMILY………………………………………………………………………$300.00

 INDIVIDUAL………………………………………………………………   $150.00

SR COUPLE …………………………………………………………………$175.00

SR INDIVIDUAL……………………………………………………………$125.00

Late fee of $25.00 for returning families after May 1st, 2012

Guest passes can be purchased for $10.00 each ( up to 10 per family)

I would like ____ guest passes.  I am enclosing $_____  for them

MEMBERFAMILY NAME:

ADDRESS:

PHONE NUMBER (

HOME / WORK):

EMERGENCY CONTACT:

EMERGENCY PHONE NUMBER:

E-MAIL ADDRESS:

BOND ( if applicable) #___________

(DO NOT TEAR SHEET)

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

all people must live at the address

NAME AGE

NAME AGE

NAME AGE

NAME AGE

NAME AGE

NAME AGE

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