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