Pool Membership Form

Your Name:

Your Email:

Your Phone:

Street Address:

Members of your household

Please include birthdates for everyone that will use the pool

Name and Birth Date:

Name and Birth Date:

Name and Birth Date:

Name and Birth Date:

Name and Birth Date:

Name and Birth Date:

Name and Birth Date:

Name and Birth Date:

Name and Birth Date:

Name and Birth Date:

Pool Rules and Procedures are strictly enforced by the HOA
Your family can lose the privilege of the pool if the rules are not followed.

I/we have read and hereby agree that I/we have received and read the Pool Rules (attached) and hereby agree to comply with the rules established by the Ward Park Place Homes Association while using the facilities owned and operated by the Association.

HOMEOWNERS DELINQUENT ON THEIR ASSOCIATION DUES
WILL BE RESTRICED FROM THE POOL AND OR POOL AREA.