Hackettstown Community Pool
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- A FAMILY CONSISTS OF A MARRIED COUPLE, AND ALL UNMARRIED CHILDREN RESIDING IN THE HOME WHO HAVE NOT TURNED 19 YEARS OF AGE
- READ BEFORE YOU SIGN
- GENERAL INFORMATION
- DAILY FEE IS THE SAME FOR RESIDENT OR NON-RESIDENT Mon-Fri Sat., Sun., Holiday
- POOL HOURS: 12 NOON TO 8 PM (WEATHER and/or darkness PERMITTING) (On a trial basis: 11:30 to 12noon Monday through Thursday for pool members only.)
- Return Application and payment to: Hackettstown-Pool Account, PO Box 212, Hackettstown, NJ 07840
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Hackettstown Community Pool
__________to__________ Membership Application 2017
Badge Numbers ________________________________________________________________Cash______Check_______ Applicant’s Name
________________________________________________________________Badge Color____________ Address
Phone Number
______________________________________________________________________________________ Plan: Family______ Individual______ Sr. Citizen______ Resident______Non-Resident______
Amount Tendered______ A FAMILY CONSISTS OF A MARRIED COUPLE, AND ALL UNMARRIED CHILDREN RESIDING IN THE HOME WHO HAVE NOT TURNED 19 YEARS OF AGE If applying for family plan, list other names below – do not list your own name.
Age Birthday Relationship
Badge ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
ANY MISREPRESENTATION WILL RESULT IN FORFEITURE OF POOL MEMBERSHIP AND LOSS OF ALL MONIES VESTED. THIS INCLUDES BUT IS NOT LIMITED TO: 1.
PROVIDING A FALSE ADDRESS AND/OR FALSELY CLAIMING RESIDENCY. 2.
LISTING INDIVIDUALS FOR A FAMILY MEMBERSHIP WHO DO NOT QUALIFY, BY DEFINITION, FOR THAT MEMBERSHIP. 3.
4.
THE USE OF YOUR MEMBERSHIP BADGE BY ANY OTHER PERSON. MEMBERSHIPS ARE NOT TRANSFERABLE, ABSOLUTELY NO REFUNDS AFTER POOL OPENS.
______________________________________ _________________________________________ Date
Signature GENERAL INFORMATION Fee Schedule for entire season
Resident Non-Resident Family (see definition above)
$105.00 $180.00
$50.00 $100.00 Senior Citizen (Age 62 prior to 6/1 of present yr.) $10.00 $10.00
DAILY FEE IS THE SAME FOR RESIDENT OR NON-RESIDENT Mon-Fri Sat., Sun., & Holiday Adult
$5.00
$10.00 Child (4-15)
$2.00
$4.00 POOL HOURS: 12 NOON TO 8 PM (WEATHER and/or darkness PERMITTING) (On a trial basis: 11:30 to 12noon Monday through Thursday for pool members only.) NOTE: No refunds of any type due to staffing issues, system failure, or emergency closure Children under 3 years of age and under will be admitted free when accompanied by a parent. Use separate application for each type of membership. Adults need not give ages unless applying for Senior Citizen membership. Return Application and payment to: Hackettstown-Pool Account, PO Box 212, Hackettstown, NJ 07840 Download 17.2 Kb. Do'stlaringiz bilan baham: 
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