Membership Application

Call us: (707) 526-0529

Click here for Membership Options/Rates

Membership applicant(s) acknowledges that the membership is a license entitling him or her to services and facilities provided by the Club. As such, the membership is non-proprietary and does not confer or carry with it any interest in the property or assets or liabilities or any right on the part of Members to participate in the management of the Club

** Membership Agreement (Please Read)

I have read and understand the terms and conditions of the Membership Agreement: *

Yes

Membership Type

Select One: *

Individual

Couple

Family

Start Date: *

Please enter the date you wish to start your membership. Dues for the current month will be prorated based on start date.

End Date:

Only for temporary memberships. Maximum 4 months. Will be billed monthly unless requested otherwise.

Primary Applicant Information

First and Last Name: *

Date of Birth: *

Male or Female: *

Male

Female

Email Address: *

Home Address: *

Zip Code: *

Home Phone:

Cell/Work Phone:

Spouse or Domestic Partner Information

This information is required only if spouse/partner is joining with you. Skip this section if not applicable.

First and Last Name:

Date of Birth:

Male or Female:

Male

Female

Email Address:

Cell/Work Phone:

Child(ren)'s Information

This information is only required if child is joining with you. Please skip this section is not applicable.

(1) Child's First and Last Name:

Date of Birth:

Male or Female:

Male

Female

(2) Child's First and Last Name:

Date of Birth:

Male or Female:

Male

Female

(3) Child's First and Last Name:

Date of Birth:

Male or Female:

Male

Female

Emergency Contact Info

Emergency Contact Name:

Emergency Contact Phone#:

Monthly Dues Payment Options

We have 3 options for paying your monthly dues:
1) Credit Card
2) Checking/Savings Account
3) Monthly Statement mailed to your home address (please add $5 per month)

Payment Method: *

Credit Card

Checking/Savings Account

Monthly Statement (add $5 per month)

Please select your preferred method for monthly billing

Credit Card number:

Credit card exp. date:

Credit Card security code:

Credit Card Information

Please enter credit card information below if you prefer this method for your monthly billing

Checking/Savings Account:

Please add bank information if you choose this method of payment for your monthly dues.

Bank Name:

Routing Number:

Each bank has a unique routing number which can be found on the bottom of a check or online on your bank's website

Account number:

Initiation Fee Payment

Your initiation fee is due at the time of sign up. Monthly dues will be prorated based on your start date. If you provided credit card information for monthly dues payment we will use that card for the initiation and prorated dues. If you did not provide credit card information please do so here.

Credit Card number Initiation Fee:

Credit card exp. date initiation fee:

Credit Card security code initiation fee:

Thanks for submitting your application for membership to Montecito Heights. A representative from our Member Services team will contact you shortly with confirmation of receipt and the total amount due for the initiation fee and prorated monthly dues.

Comments:

Leave this field blank:

Click here for Membership Options/Rates

** Membership Agreement (Please Read)

30% off Joining Fees

Reservation System Tutorial

We are live with the new system
for booking classes, gym times, lap reservations & small group training

WATCH TUTORAIL AND THEN

GET STARTED NOW

Club

Programs

Membership

The Spa

Affiliates

Membership Application

Click here for Membership Options/Rates

** Membership Agreement (Please Read)

30% off Joining Fees

Reservation System Tutorial

We are live with the new system for booking classes, gym times, lap reservations & small group training

WATCH TUTORAIL AND THEN

GET STARTED NOW

Club

Programs

Membership

The Spa

Affiliates

We are live with the new system
for booking classes, gym times, lap reservations & small group training