Swim Application

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Swim Application

Enjoy our pool, tennis court, and clubhouse with our Swim & Tennis Memberships. Swim membership begins Memorial Day weekend and ends Labor Day weekend. Tennis memberships begin May 1st and go to the end of October. There is no monthly food minimum or initiation fee with this membership.

Swim 2024 Membership Application Form

Please complete all required fields!

2024 Swim & Tennis Membership Type (tax will be applied to each membership)(*)

Family Swim & Tennis Membership $500 Single Swim & Tennis Membership $278 (no add ons) Senior Couple (60 an older) $333 Senior Single (60 and older, pool only) $250

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Children: The children who qualify as dependents on your membership must be 19 yrs old or younger. They must be able to be claimed on your taxes.

Families greater than 6 people

1 additional child ($10) 2 additional children ($20) 3 additional children ($30) Other Invalid Input

For the immediate family, who reside in the same household there is a $10 per child fee for each additional family member past six.

Add-On Passes

Dependent Children Swim Membership: ($100) 20 yrs to 22 yrs old Invalid Input

One pass per family membership.

Your Name(*)

Please let us know your name.

Spouses' Name(*)

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Marital Status(*)

Married Single

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Street Address

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City ST Zip

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Country

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Cell Phone(*)

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Would you like to receive text messages for pool status updates and upcoming events?

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Email Address(*)

Please let us know your email address.

Member's Date of Birth(*)

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Spouses' Date of Birth(*)

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Spouse Cell Phone

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Spouse Email

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Children: The children who qualify as dependents on your membership must be 19 yrs old or younger. They must be able to be claimed on your taxes.

Name

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Date of Birth

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Grandchildren are only eligible to be dependants if you are their legal guardian. (We will need paperwork at the time of payment)

Name of Babysitter (only needed if purchasing a pass)

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Babysitter Phone

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Name of Grandparent (only needed if purchasing a pass)

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Grandparent phone

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Consent(*)

I agree to remain a pool and/or tennis member for the duration of the pool/tennis season.

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Billing(*)

Annual payment in full

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Consent(*)

I agree to keep an active credit card on file at all times during my membership at Brown’s Run. Furthermore, I authorize Brown’s Run to charge my credit card on file for any unpaid food & beverage, guest fees, greens fees or other charges once my account becomes more than 60 days in arrears.

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I elect to make all payments to Brown's Run in the form of:(*)

Credit Card ( see Brown's Run Office Coordinator to put card on file) Personal Check (must also have credit card on file)

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All monthly statements will be e-mailed electronically unless paper statements are specifically requested.

Activities you or your family are interested in:(Please check all that apply)

Swim Lessons Kids Tennis Lessons Adult Tennis (League or Lessons) Kids Golf Lessons Adult Golf (League or Lessons) Swim Team Invalid Input

Photo Consent(*)

I give Brown's Run permission to take and use photos for the purpose of social media, newsletters, and use around the clubhouse.

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Bylaws, Rules, and Regulations(*)

I hereby make application for membership into Brown's Run Country Club and agree to abide by the Bylaws, Rules, and Regulations as they are written and any amendments hereafter. I agree to pay my account promptly within 15 days of receipt and no later than its due date, to pay applicable initiation fee, all membership dues, fees and charges applicable to my classification of membership and all that may be assessed on any of said charges. I hereby certify that all information contained in this application is true and correct and I authorize Brown's Run Country Club to obtain, from whatever source deemed appropriate, all information necessary to verify statements contained herein, including a verification of my credit history. Applicant also agrees to accept full responsibility for the conduct and actions of his/her family & guests including remuneration for physical damages to the Clubhouse, Course, Carts, and grounds because of negligence and/or malfeasance of said family members and guests.

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Please list any additional information you would like us to be aware of.

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