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