Babysitter Form "*" indicates required fields Membership #Billing Contact Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* The email address we will use to contact you.Babysitter Name Babysitter PhoneBabysitter Fee Price: $100.00 (plus tax)Processing Fee Price: Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name CAPTCHATerms of ServiceBabysitters (MEMBER ASSUMES RESPONSIBILITY) are permitted only in place of parent(s). Babysitters must be at least 15 years of age, attested to in writing by the head of the household. Babysitters are to leave the club grounds when the parent(s) arrive. I agree to the Terms of Service Babysitter Form "*" indicates required fields Membership #Billing Contact Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* The email address we will use to contact you.Babysitter Name Babysitter PhoneBabysitter Fee Price: $100.00 (plus tax)Processing Fee Price: Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name CAPTCHATerms of ServiceBabysitters (MEMBER ASSUMES RESPONSIBILITY) are permitted only in place of parent(s). Babysitters must be at least 15 years of age, attested to in writing by the head of the household. Babysitters are to leave the club grounds when the parent(s) arrive. I agree to the Terms of Service