MEMBER  REGISTRATION
 
   Membership Type:    Single Month to Month Membership
   Enrollment Fee:    $ 100.00
   First Month Dues*:    $ 3.06
   Total Due:    $ 103.06
   Billing Begins:    06/01/2017
   Dues:    $ 43.30
 
  *Prorated
 
 PERSONAL  INFORMATION
   
     First Name / MI
     Last Name
     Address 1
     Address 2
     City / State
     Zip
     Drivers License
   
   
     Birthday
Home Phone
Cell Phone
E-Mail
Confirm E-Mail
Emergency Contact
Emergency Phone
Hear About us?
   
 
 BILLING  INFORMATION
 
    How would you like to pay for your monthly dues?
     I want to use my bank account.
 
 TERMS   AND   CONDITIONS
 
 I have read and agree to the cancellation policy. Click to view
 I have read and agree to the membership terms and club rules. Click to view
 I have read and agree to the waiver of liability. Click to view
 
 
Member
 
Parent/Guardian