Newcomers Club Donation Form

Thank you for your support! Our students are always in need of swimsuits, goggles, towels, and flip flops. We so appreciate this wonderful partnership. To schedule a tour, please contact lhohenleitner@horizonsjerseyshore.org. We would love to see you this summer at the pool!

(* Denotes Required Fields)

Your Information
First Name: *
Last Name: *
Address:
Newcomers Make a Splash Donation Amount: *	Amount: $
Credit Card Payment Information
Amount:	$0.00
Card Type:	American Express Discover Master Card Visa
Card Number:
Name on Card:
Verification #: ?
Expiration Date:
Billing Address:
City, State, Zip: