Instructions

1. Enter all information on the form below
2. Click the "Print This Application" button at the top
3. Send the completed application along with a check payable to "Twin Oaks Swim and Tennis Club", to:
   
   Twin Oaks Swim & Tennis Club
   Box 429
   Chappaqua, New York 10514

New Payment Options
If you would like to charge your dues to a Credit Card please fill out the information below:

Card Number________________________________ Expiration Date_____________

Name on Card_______________________________

Dues can also be paid in three installments: $700 with application and the two other payments of $500 on the first of each month.

Application information is used for membership cards, telephone directory, and in case of emergency.  This is your family's official census for membership.   All of the information below is required.

Name:	(Example: Jane & Joe Smithowitz)
Address:
City:
State:	Zip:
Home Phone:
Cell Phone:
Email:
Names and ages of children, live-in parents, and mother's helpers. Please check the appropriate box for each name listed.
Name Child Live-In Parent Mother's Helper ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________
Club Directory:	I do not want my phone number published I do not want my email address published
How did you hear about Twin Oaks, and what attracted you to the Club? (i.e. location, tennis programs, children's programs):