Somerset Hills Swim Club | SHSC Membership Form

2024 MEMBERSHIP OPTIONS:

BONDED FAMILY (Renewal): Membership $875 + Refundable $100 Service Hours = $975 Total
BONDED FAMILY (New): Bond* $650* + Membership $875 + Refundable $100 Service Hours = $1,625 Total
NON-BONDED FAMILY: Membership $1,150 + Refundable $100 Service Hour = $1,250 Total
COUPLE: Membership $650 + Refundable $100 Service Hours = $750 Total
SINGLE: Membership $450 + Refundable $100 Service Hours = $550 Total

-Membership Application Fee for New Couples & Singles: $250 for Couples; $150 for Singles. For Couples & Singles over 65 years old, the Service Hours fee is waived.

-Please make your payment in the total amount (Membership + Service Hours). As soon as your service hours are complete, we will reimburse your $100 via check.

*Members of Somerset Hills Swim Club have part ownership through a one-time bond fee of $650. This bond is returned after formal resignation from the pool is received your spot is filled by a new member.

DUE DATE: April 15, 2024

New Member Or Renewal

Renewal

Bonded NEW

Non Bonded

Membership Type

Family

Couple

Single

Renewals: Please remit your payment by April 15th. After this date, available memberships may be offered to families on the waiting list and late fees will be assessed.

Resignation or Change in Membership: All resignations must be received by April 15 by completing the form online.

Please complete and submit this form. Mail your check before the dates above. Checks should be made payable to Somerset Hills Swim Club. Do not send cash!

First Name *

Last Name *

Address *

Address

City

State/Province

Zip/Postal

Email *

Phone *

Pool Rules and By-Laws: I have read the SHSC Pool Rules and By-Laws available on this website. All members of our family agree to abide by SHSC Pool Rules and By-Laws.

Signature *

Clear

Date *

Membership Service Hours: Each household is also responsible for a $100 deposit (formally known as work bond) for the 2024 season (see Membership Service Form). When one family member, eighteen or older, works one three-hour shift on a designated pool work day or at an otherwise arranged time, we will reimburse your $100 via Venmo or check. This is in addition to your annual dues. Look for email or check the website for work days.

I have read the above Membership Service Hours statement and acknowledge my family’s responsibility.

Membership Service Hours Signature *

Clear

Date *

Participation Release: As legal parent or guardian, I release and hold harmless Somerset Hills Swim Club, its board and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Somerset Hills Swim Club, its board and operators or in route to or from any of said premises. In addition, I acknowledge that any injury would be covered by my personal medical insurance.

Participation Release Signature *

Clear

Date *

Photo Release: I hereby grant the Somerset Hills Swim Club (SHSC) the right to display a photograph of all family members on the SHSC website, pool sign-in paperwork and in SHSC newsletters and marketing materials.

Photo Release Signature *

Clear

Date *

Resignations: If you do not plan to renew your membership for the 2024 season, you are required to notify the SHSC Pool Board via the resignation form on this website by April 19th, 2024. Please fill out and submit the Membership Resignation Form. You will immediately receive a confirmation email that the form has been submitted. Failure to notify the Board by April 19th, 2024 may result in penalties, not to exceed the amount of the bond payment. Your signature below does NOT indicate that you are resigning your membership. It does indicate that you understand that there is a resignation process you must follow.

Resignations Signature *

Clear

Date *

Please provide the names of all family members who are a part of this membership. These entries will be used for our electronic check-in/check-out procedures.

First Name *

Last Name *

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

If you would like to opt-in to receive periodic texts from the SHSC on the weather and status of the pool as well as special social activities and announcements, please add your cell phone number here.

Cell Phone

By clicking on this submit button below, you are agreeing to abide by all pool rules and regulations.