Wait List Application

Follow the steps below, then complete the waitlist form.

STEP 1 — Review This Information About the Definition of a Membership

A family membership consists of a single family unit living at one address, and, for the purposes of this definition, two married couples living at one address will be considered as two family units. A family unit who owns the Family Membership may include:

  • Husband and Wife, as joint owners
  • Unmarried children living at home, or who normally live at home and are temporarily away from home attending college or other schools, or serving in the Armed Forces
  • Unmarried relatives living permanently at the same address who have been approved by the Board of Directors (for the purposes of this definition, unmarried relatives include widowed, divorced, or permanently, legally separated)
  • An unmarried, committed couple living permanently at the same address.

STEP 2 — Review These Terms and Conditions

  • It is the responsibility of the prospective member (applicant/s) to maintain and keep current all of the information requested on the form below, and to notify the DHARA membership recorder immediately of any new or updated information (or to update their information online, by logging into this website).
  • Intentional submission of inaccurate information to DHARA will result in the cancellation of the prospective member’s application and their removal from the wait list.
  • It is the responsibility of the prospective member to accept or decline DHARA’s offer of a membership within three (3) business days of notification. If the prospective member does not respond within the aforementioned time, they will be removed from the wait list and must re-apply for membership. The wait list fee is non-refundable.

By submitting the online form on this page, you certify you have read and agree to the terms and conditions on this page. You also certify all submitted information is true, accurate and complete.

STEP3: Complete the Online Form Below

  • Complete this form and click the blue Submit button to be directed to the online payment screen.
  • When a membership account becomes available the membership recorder will contact you.
  • You may log in using the username and password you create below to update your contact information at any time.
  • By submitting the online form on this page, you certify you have read and agree to the terms and conditions on this page.
  • You also certify all submitted information is true, accurate and complete.

NOTE: Your priority on the waitlist is set as of the date we receive payment. You must keep your contact information current.

Need more info or have questions? Contact Julie Jernigan, DHARA membership recorder, at membership@dominionhills.org or via telephone at 703-531-0770.

  • Enter the name of the person who should be contacted if membership becomes available or if any questions arise regarding the wait list application.
  • Date of Birth (for Primary Applicant/Billing Contact)
  • Date of Birth (for Spouse or Co-Applicant)
  • List the first name, last name, birthdate and relationship to applicant for ALL ADDITIONAL family members (who all must reside in the Applicant's house.)

    Use separate lines for each person. All information for each person listed MUST be included.

  • The best phone number to reach the applicant or co-applicant.
  • The best email address to reach the applicant or co-applicant. (Note: You are responsible for keeping your contact information current.)
  • Please select a user name for your wait list account. You will be able to log in and manage your wait list account with it. *NOTE: If you are already a member of, or on the wait list at, another club using Member Splash software, you will be asked to pick a unique username for Dominion Hills.
  • Select a password that you will use to access your wait list account. (If you ever forget your username or password, you can request a reset link on the Member Login page. The link will be sent to your email address above.)
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  • Price: $50.00