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Temporary Notice

Please fill out this form to be placed on the list and we will contact you for a season membership. Please see our membership page for fees and dues.

New Member ApplicationNOTE
Please fill out this form, including the type of membership in which you are interested. We will contact you regarding the next steps for joining and payment. If someone referred you to the club, be sure to list their full name at the bottom of this page in order for them to receive a thank you for the referral!
Pay Statusunpaid
Membership TypeSINGLE: A Single Membership consists of an individual who is eighteen (18) years of age or older, and who has no dependents who will be using the Club. The spouse of a Single Member may only visit the Club as a guest once per month. A one-time bond purchase required for Single Memberships.
Your NameSuzanne Levy
Address64 E 111th St., Apt 501
New York, New York 10029
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Home Phone(917) 972-0070
Mobile Phone(917) 972-0070
EmailEmail hidden; Javascript is required.
# of Family Members1
Children - Names and Dates of Birth

I am interested in becoming a member for the 2026 season. I may bring my 23 yr daughter from time to time, or possible a friend as guests.

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