New Member Information Form

In consideration of being permitted to use the Club facilities and participate with the Swim Team, Tennis Team, and any other club programs and/or events, I hereby release, on behalf of myself, my family, my heirs and my assigns, the Club, its employees, agents and sponsors, from liability for injury, death, or loss suffered by me, or my minor children, while using the facilities, or in transit to and from events/matches or in engaging in any activities incidental thereto, wherever, whenever, or however the same may occur, which result from the ordinary negligence of the Club, its employees or agents.
Enter birthdate of Child 1 (MM/DD/YYYY)
Enter birthdate of Child 2 (MM/DD/YYYY)
Enter birthdate of Child 3 (MM/DD/YYYY)