MEMBER  REGISTRATION
 
   Membership Type: 3 Month Membership
    
   Enrollment Fee: $ 229.00
    
    
   Total Due Today: $
   
   
 PERSONAL  INFORMATION
   
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     Last Name
     Address 1
     Address 2
     City / State
     Zip
     Birthday
   
   
Home Phone
Cell Phone
E-Mail
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Emergency Contact
Emergency Phone
   
    
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 WAIVER AND RELEASE
 
 I have read and agree to the membership terms and club rules. Click to view
 
 
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