FCSC Photo Form
FoxChasePhil - Please Print This Form and MailFCSC Please Print This Form and Mail
 

LAST NAME:
please print

FIRST NAME :

SPOUSE'S FIRST NAME :
HOME PHONE:
WORK PHONE:
EMERGENCY PHONE:

In order to process your membership, we require individual wallet size photos, (or a picture that we can cut to fit).

Please send them to us as soon as possible so as to not delay processing of your memberships.

If you do not have any reasonable photographs of members available, come to the FOX CHASE SWIM CLUB and we will take pictures of the members at a cost of $3.00 per Family!

INDIVIDUAL HEAD SHOTS FOR EACH MEMBER
           

___________
Name:
___________
Age:

___________
Name:
___________
Age:

___________
Name:
___________
Age: 		___________
Name:
___________
Age: 		___________
Name:
___________
Age: 		___________
Name:
___________
Age:

Rates • Application • Photos • Information • Biography • Home • Back To Top

©2007 FOX CHASE SWIM CLUB
mail forms to: FOX CHASE SWIM CLUB, PO BOX 94, CHELTENHAM , PA 19012
e-mail to: - foxchasefamily@comcast.net
1098 Solly Ave. Philadelphia PA 19111 • phone: - 215-725-8187
open MEMORIAL DAY weekends only until June 18, then everyday until LABOR DAY!
HOURS 11:00AM to 8:00PM
 site created by Geiger Graphics please e-mail any questions or suggestions