Auto Draft - Forest Park Pool | Concord, CA

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Membership Statement

Section 2.1. A membership may be owned jointly by husband and wife, or singularly by husband or wife or unmarried head of
household. All of the rights, duties, obligations and benefits of membership shall insure to the immediate family residing together
with owner(s) in a single household.
Section 2.2. Member(s) shall designate family members (Limited to (8) eight) each year upon payment of membership dues.
Designated family members shall enjoy all rights and privileges of membership.
Designated family members must be related to Member(s) (as a child, stepchild, adopted or foster child, parent.)
Section 2.2.1 Member(s) may, as one of the eight designated Family members, designate a childcare provider who shall enjoy all rights
and privileges of membership during the course and scope of performing duties as a childcare provider for a member.

As stated in the ByLaws, ARTICLE VII: Section 4 - No member shall be deemed in good standing, unless and until the records kept by the Treasurer reflect such member has paid in full all dues, work party fines, penalties and assessments levied in accordance herewith. Members whose dues are two (2) months in arrears shall be notified in writing by the Board of Directors. Unless approved by the Board, Failure to pay dues within thirty (30) days of written notification shall result in the membership reverting to the corporation without remuneration.

Family Name *

Email *

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone *

Home Phone

Referred by:

First

Last

What is your contact preference? *

Email
Text
Both

Membership Information

Name - Primary Member *

First

Last

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Primary Member Birthday *

Age of Primary Member *

Which membership are you interested in? *

A Senior Membership can be one or two adults (60 and over) residing at the same address. Children are not included in this membership but guest passes are available for visitors if needed.

Name - Secondary Member

First

Last

Secondary Member Birthday

*required if member is a minor

How many additional family members will be on your account? *

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Membership Terms & Conditions I agree to pay the yearly membership dues. I understand that if I do not maintain my membership, per the by-laws, my membership will revert to the Forest Park Swimming Association. I understand that the pool and payment of dues is governed by the Forest Park Swimming Association by-laws. I acknowledge that I have been given a copy of these by-laws. I agree that my family, my guests and I will abide by the safety rules and code of conduct established by "The Association." I understand that each membership is responsible of 12 volunteer hours as a part of my membership: ** I will complete 12 volunteer hours, or pay a $25.00 per volunteer hour fine for commitments not completed. Volunteering is a scheduled gatekeeping shift or yard maintenance shift, other, any combination (12 hours) total. Volunteer hours are scheduled throughout the year. Fines are due and payable by September 2023, unless alternate arrangements are made with the Board of Directors.

Checkboxes *

I agree to the membership terms

Selecting this box serves as a signature that you are agreeing to the the membership terms and conditions above.

Agreement Date *

Signature *

Payment Information

Which payment method works best for you? *

Total

$ 0.00

Please contact president@forestparkpool.net if you have any questions.

Membership Information

Additional Family Member 1

Additional Family Member 2

Additional Family Member 3

Additional Family Member 4

Additional Family Member 5

Additional Family Member 6

Additional Family Member 7

Additional Family Member 8

Insurance & Emergency Contacts

Payment Information