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2018 Membership Application 
Anirav Swim Club
I/We the undersigned agree to purchase a seasonal membership in Anirav Swim Club according to the rate schedule listed below. Upon acceptance of this application by the Anirav Board, we agree to abide by all bylaws, rules, and regulations that govern the Anirav Swim Club. All memberships are from May 26, 2018 until September 3, 2018.  Please return this completed application, emergency forms and payment to: Anirav Swim Club, P.O. Box 50116, Richmond, VA 23250.

Please select which membership you are applying for:
Full Name:

Address:

Telephone: (Home #)                                                        (Work #s)                                                             (Cell #s)

Email Addresses:
*Email is our primary means of communication with members. Please include all address where you would like to receive messages. 

~ Please list all additional members of your household (spouse, partner, children, etc.), and please include children’s ages**
                Name                                                 Relationship                      Child’s Age
1) 
2) 
3)
4) 
5)
6)
7)
8)


**IF you have a child or children under the age of 15, you MUST fill out the “Emergency Contact” form.
How did you hear about Anirav? 
Were you referred by a member?                          If yes, who was the member?

Application may be rejected if the undersigned or their family members owe any amounts to Anirav Swim Club for prior years. Upon default, the undersigned agrees to pay attorneys fees and costs incurred by Anirav Swim Club if any sums are collected with the aid of an attorney at law. In addition, by signing below you are giving Anirav Swim Club permission to use photos of you or family members for promotional materials. If you want to opt-out, you must email aniravpool@gmail.com and put on subject line “Opt out photo release”.

I have also read and agree to the rules of the Anirav Swim Club.

Name:                                                                                                       Date:

By putting your initials you are electronically signing this form:
Double click here to add text.
New Member $100 (Please select if you have not been a member in the 2015 or 2013 season)