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HEART OF THE HILLS SWIM CLUB, INC.
APPLICATION FOR GRANDCHILD(REN) GUEST STATUS
Member Number:
Last Name:
Board of Governors:
I am caring for my grandchild(ren) this summer and would like to request that they be allowed to accompany me/us to the pool.
Grandchild's Name: Birthdate:
Grandchild's Name: Birthdate:
Grandchild's Name: Birthdate:
Grandchild's Name: Birthdate:
Upon approval, the child(ren)’s picture(s) will be taken and my account will be billed $75.00. Admission is subject to the rules and regulations of Heart of the Hills Swim Club, Inc.
Submitting this form indicates agreement to these conditions and charges.
If you prefer you can complete a printable form and either mail it to the Club (PO Box 80083, Rochester, MI 48308) or drop it off at the pool.
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