New Member – Darnestown Swim and Racquet Club

Billing Contact Name*
Enter the name of the person who should be contacted regarding any questions about the account.
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
This is also what you will use to log into your account.
Enter Email Confirm Email
Password*
Enter Password Confirm Password

Strength indicator

Select a password that you will use to access your account. You will be able to send a password reset link to the email address you entered above if necessary.
This field is hidden when viewing the form
Referral
If you were referred to DSRC by a current DSRC member please enter their name above, if not please leave blank
How did you hear about DSRC?*
How did you hear about DSRC?
Application Fee*
Price:
The $50 application fee is non-refundable. If you accept a membership, when your family is offered one, this fee will be deducted from your initiation fee. If you do not accept the membership this money will not be refunded.
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Agreement to Pool Rules & Bylaws*
I agree to abide by the terms of the pool:
Pool Rules and Bylaws
- I agree to the Terms of Service
CAPTCHA
Order Token