Mail check for Membership to
Denver Kickers Sport Club, Inc.
16776 W 50th Ave,
Golden CO 80403
Any questions, please call 303-279-9097

Single Membership ($100)

$50 Initiation Fee – one time, needs to be mailed by check to the club
$50 Annual Membership Fee – first year, needs to be mailed by check to the club

Family Membership ($125)

$50 Initiation Fee – one time, needs to be mailed by check to the club
$75 Annual Membership Fee per couple – first year, needs to be mailed by check to the club

I hereby apply for membership in the Denver Kickers Sport Club and promise to observe all the rules and statutes of the organization.

    Your Name
    Address
    City
    State
    Zip Code
    Phone Number
    Cell Phone Number
    Email
    Birth Date
    Occupation
    Married
    YesNo
    Is your spouse a member?
    YesNo
    Name of Spouse
    Spouse's Birth Date
    Children Under 18
    Name
    Birth Date
    Name
    Birth Date
    Name
    Birth Date
    Signature
    Date
    Signature of Proposing Member
    Date