{"id":1157,"date":"2021-01-27T18:35:43","date_gmt":"2021-01-27T18:35:43","guid":{"rendered":"http:\/\/indianhillsswimclub.com\/?page_id=1157"},"modified":"2025-11-04T20:27:39","modified_gmt":"2025-11-04T20:27:39","slug":"1157-2","status":"publish","type":"page","link":"https:\/\/indianhillsswimclub.com\/?page_id=1157","title":{"rendered":"Online Application"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;3_4,1_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Start Your Application Here<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1085-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1085\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1157#wpcf7-f1085-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1085\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1085-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>Your Name\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"full-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"full-name\" \/><\/span>\n<\/p>\n<p>Your Birth Date\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"birth-date\" \/><\/span>\n<\/p>\n<p>List below all other family individuals (FULL NAME & BIRTHDATE) to be on membership <strong>(must all live in the same house). Proof of address will be required for multiple family members on application. (MEMBERS MUST ALL LIVE IN SAME HOUSE AND PROVIDE PROOF OF ADDRESS. ONLY 2 PEOPLE AGE 25+ ON ONE MEMBERSHIP WHO LIVE TOGETHER. 10 DAY PASS, SINGLE AND SENIOR MEMBERSHIPS ARE ONLY FOR ONE PERSON.)<br \/>\n<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"family-members\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"family-members\"><\/textarea><\/span>\n<\/p>\n<p>Your Street Address\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"street-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-address\" \/><\/span>\n<\/p>\n<p>City\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n<\/p>\n<p>State\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state\" \/><\/span>\n<\/p>\n<p>Zip Code\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip-code\" \/><\/span>\n<\/p>\n<p>Your Best Telephone\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telephone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telephone-number\" \/><\/span>\n<\/p>\n<p>Your Best Email Address\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-address\" \/><\/span>\n<\/p>\n<p>Preferred Contact Method (select one)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"preferred-contact-method\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"preferred-contact-method\" value=\"Email\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Email<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"preferred-contact-method\" value=\"Phone\" \/><span class=\"wpcf7-list-item-label\">Phone<\/span><\/span><\/span><\/span>\n<\/p>\n<p>How did you hear about us? (new members only)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referral-source\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"referral-source\" \/><\/span>\n<\/p>\n<p><strong>Select Membership Type<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"membership-type\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"membership-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"SENIOR-65 years of age or older ($340)\">SENIOR-65 years of age or older ($340)<\/option><option value=\"SINGLE-13 years of age or older ($360)\">SINGLE-13 years of age or older ($360)<\/option><option value=\"FAMILY-TWO PERSON ($500)\">FAMILY-TWO PERSON ($500)<\/option><option value=\"FAMILY-THREE PERSON ($580)\">FAMILY-THREE PERSON ($580)<\/option><option value=\"FAMILY-FOUR PERSON ($600)\">FAMILY-FOUR PERSON ($600)<\/option><option value=\"FAMILY OF 5 OR MORE ($620+$20\/per additional family member)\">FAMILY OF 5 OR MORE ($620+$20\/per additional family member)<\/option><option value=\"10-Day (ONE PERSON) Pass ($180)\">10-Day (ONE PERSON) Pass ($180)<\/option><\/select><\/span>\n<\/p>\n<p>*<em>Do not include children 2 years of age and younger in your membership rate, but please include their names and birth dates above. $10 credit card fee will be added. You can add the babysitter pass at checkout.<\/em>\n<\/p>\n<p><strong>Membership Agreement<\/strong>\n<\/p>\n<p>Upon submitting this application form with payment, I agree to the following:\n<\/p>\n<ul>\n\t<li>\n\t\t<p>Any and all membership fees will not be refunded after opening date.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>Any actions taken by a minor are the responsibility of the adult signing party.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>All members listed on this application must live in the same house.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>Any falsification will require IMMEDIATE expulsion without a refund.\n\t\t<\/p>\n\t<\/li>\n<\/ul>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"accept-terms\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"accept-terms\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Check here to confirm that you have read the club rules and agree to the terms and conditions listed above.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Once you've submitted this application, you will be redirected to a page with payment options. Thank you.\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p>\n<p><b>Application is not complete without payment.<\/b>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _dynamic_attributes=&#8221;link_option_url&#8221; _module_preset=&#8221;default&#8221; link_option_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9hdHRhY2htZW50Iiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE1NTcifX0=@&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h4>2026 MEMBERSHIP<\/h4>\n<h4>Prefer a paper application? Click Here!<\/h4>\n<p>Use the paper application in order to pay by check\/cash.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Start Your Application Here\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1085-o2\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1085\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1157#wpcf7-f1085-o2\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1085\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1085-o2\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>Your Name\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"full-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"full-name\" \/><\/span>\n<\/p>\n<p>Your Birth Date\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"birth-date\" \/><\/span>\n<\/p>\n<p>List below all other family individuals (FULL NAME & BIRTHDATE) to be on membership <strong>(must all live in the same house). Proof of address will be required for multiple family members on application. (MEMBERS MUST ALL LIVE IN SAME HOUSE AND PROVIDE PROOF OF ADDRESS. ONLY 2 PEOPLE AGE 25+ ON ONE MEMBERSHIP WHO LIVE TOGETHER. 10 DAY PASS, SINGLE AND SENIOR MEMBERSHIPS ARE ONLY FOR ONE PERSON.)<br \/>\n<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"family-members\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"family-members\"><\/textarea><\/span>\n<\/p>\n<p>Your Street Address\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"street-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-address\" \/><\/span>\n<\/p>\n<p>City\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n<\/p>\n<p>State\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state\" \/><\/span>\n<\/p>\n<p>Zip Code\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip-code\" \/><\/span>\n<\/p>\n<p>Your Best Telephone\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telephone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telephone-number\" \/><\/span>\n<\/p>\n<p>Your Best Email Address\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-address\" \/><\/span>\n<\/p>\n<p>Preferred Contact Method (select one)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"preferred-contact-method\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"preferred-contact-method\" value=\"Email\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Email<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"preferred-contact-method\" value=\"Phone\" \/><span class=\"wpcf7-list-item-label\">Phone<\/span><\/span><\/span><\/span>\n<\/p>\n<p>How did you hear about us? (new members only)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referral-source\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"referral-source\" \/><\/span>\n<\/p>\n<p><strong>Select Membership Type<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"membership-type\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"membership-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"SENIOR-65 years of age or older ($340)\">SENIOR-65 years of age or older ($340)<\/option><option value=\"SINGLE-13 years of age or older ($360)\">SINGLE-13 years of age or older ($360)<\/option><option value=\"FAMILY-TWO PERSON ($500)\">FAMILY-TWO PERSON ($500)<\/option><option value=\"FAMILY-THREE PERSON ($580)\">FAMILY-THREE PERSON ($580)<\/option><option value=\"FAMILY-FOUR PERSON ($600)\">FAMILY-FOUR PERSON ($600)<\/option><option value=\"FAMILY OF 5 OR MORE ($620+$20\/per additional family member)\">FAMILY OF 5 OR MORE ($620+$20\/per additional family member)<\/option><option value=\"10-Day (ONE PERSON) Pass ($180)\">10-Day (ONE PERSON) Pass ($180)<\/option><\/select><\/span>\n<\/p>\n<p>*<em>Do not include children 2 years of age and younger in your membership rate, but please include their names and birth dates above. $10 credit card fee will be added. You can add the babysitter pass at checkout.<\/em>\n<\/p>\n<p><strong>Membership Agreement<\/strong>\n<\/p>\n<p>Upon submitting this application form with payment, I agree to the following:\n<\/p>\n<ul>\n\t<li>\n\t\t<p>Any and all membership fees will not be refunded after opening date.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>Any actions taken by a minor are the responsibility of the adult signing party.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>All members listed on this application must live in the same house.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>Any falsification will require IMMEDIATE expulsion without a refund.\n\t\t<\/p>\n\t<\/li>\n<\/ul>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"accept-terms\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"accept-terms\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Check here to confirm that you have read the club rules and agree to the terms and conditions listed above.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Once you've submitted this application, you will be redirected to a page with payment options. Thank you.\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p>\n<p><b>Application is not complete without payment.<\/b>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n2026 MEMBERSHIP Prefer a paper application? Click Here! Use the paper application in order to pay by check\/cash.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1157","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/indianhillsswimclub.com\/index.php?rest_route=\/wp\/v2\/pages\/1157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/indianhillsswimclub.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/indianhillsswimclub.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/indianhillsswimclub.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/indianhillsswimclub.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1157"}],"version-history":[{"count":22,"href":"https:\/\/indianhillsswimclub.com\/index.php?rest_route=\/wp\/v2\/pages\/1157\/revisions"}],"predecessor-version":[{"id":1588,"href":"https:\/\/indianhillsswimclub.com\/index.php?rest_route=\/wp\/v2\/pages\/1157\/revisions\/1588"}],"wp:attachment":[{"href":"https:\/\/indianhillsswimclub.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}