Membership Application

You are submitting an application to join the Riverside Swim Club of Riverside, Illinois, an Illinois corporation. If elected to membership, the applicant agrees to abide by the bylaws of the Club and all rules and regulations promulgated by the Board of Directors. Upon notification of acceptance, the applicant also agrees to pay the one-time initiation fee and the membership dues that correspond to the membership they are applying for.

Annual dues and payment dates are set prior to each Season by the Board of Directors. If dues are not paid by the established payment date(s) and the member has not provided a valid reason to the Board of Directors, the member will be considered in default and must re-apply for membership as a new member, pursuant to any wait list that may exist at the time of re-application. In the case of resignation, the member must complete the online resignation form under the Membership tab.

Primary Applicant (Head of Household)

First Name

Last Name

Family Members (for each include name, date of birth, relationship to primary applicant)

Membership Type

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone Number

(###)

###

####

Primary Email Address

Primary Sponsor Name

Sponsor must be a current member.

First Name

Last Name

Primary Sponsor Email

Primary Sponsor Phone Number

(###)

###

####

Secondary Sponsor Name

First Name

Last Name

Secondary Sponsor Email

Secondary Sponsor Phone Number

(###)

###

####

How did you hear about Riverside Swim Club?

Please select all that apply.

Friend / Neighbor / Family Member

Direct Mail

Facebook

Instagram

Landmark / Other Print Media

Signage in Riverside

Other

Pool Hours: