2013
TOWNSHIP OF LOPATCONG MUNICIPAL POOL
WILDEW AVENUE, PHILLIPSBURG, NJ 08865
SWIMMING POOL MEMBERSHIP APPLICATION
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PLEASE CHECK THE TYPE OF MEMBERSHIP YOU ARE APPLYING FOR.
FAMILY MEMBERSHIP (UP TO AND INCLUDING 1 THRU 18 YEARS OF AGE)
RESIDENT NON-RESIDENT
Post marked May 31st or before $270.00 $345.00
Post marked after May 31st $295.00 $370.00
INDIVIDUAL MEMBERSHIP
Post marked May 31st or before $ 140.00 $165.00
Post marked after May 31st $ 165.00 $195.00
SENIOR MEMBERSHIP (65 OR OLDER)
$ 75.00 $ 85.00
Memberships are half price after July 31st.
DAILY GATE PRICE IS $5.00 – RESIDENT
DAILY GATE PRICE IS $6.00 – NON-RESIDENT
ALL WEEKENDS AND HOLIDAYS – FOR RESIDENTS & NON-RESIDENTS - $7.50
REGULATIONS FOR FAMILY MEMBERSHIPS: Only immediate family living in the same household (2 adults & children up to & including 18 years of age). List all individuals, ages 1 year of age through age 18. For each individual over 18 an individual membership is required. Please list all individuals.
Swim lessons will be available to members at a charge of $50.00/week and non-members at $100.00/week. Notice for signups will be posted at the pool.
Pool Passes will be sent to the pool for pick-up. Pool hours are from noon to 8 pm, effective opening day, weather permitting. Adjustment in hours during the first few weeks may apply until school is dismissed for the summer. Sometime in the month of August hours of operation will be from noon until 6 pm. We reserve the right to close the pool due to weather conditions, etc. Memberships are non-refundable. Rules posted at the pool are strictly enforced! If a membership is obtained by fraudulent statements, such membership will be canceled without refund.
Pool parties are available through a separate rental contract. No one will be allowed to have a party unless they have contracted for same with the township and paid any and all required fees. Any violation of these rules will result in the membership being suspended.
A snack bar is available for the purchase of food & drink.
LIST THE LAST AND FIRST NAMES & AGE OF EACH FAMILY MEMBER, INCLUDING PARENTS FOR THE FAMILY MEMBERSHIP. FOR INDIVIDUAL ADULT MEMBERSHIPS, LIST NAME & AGE. FOR INDIVIDUAL CHILDREN & SENIOR MEMBERSHIPS, LIST NAME & AGE.
PLEASE NOTE: THAT PASSES WILL ONLY BE ISSUED FOR THE PERSONS LISTED BELOW. PLEASE MAKE SURE THAT YOU LIST ALL FAMILY MEMBERS THAT YOU ARE REQUESTING A PASS FOR.
PLEASE NOTE: NO INDIVIDUAL MEMBERSHIPS WILL BE SOLD FOR CHILDREN UNDER THE AGE OF 12.
NAME AGE
ADULT
ADULT
ADDRESS:
PHONE: DATE:
MAKE CHECKS PAYABLE TO: TOWNSHIP OF LOPATCONG & FORWARD TO:
TOWNSHIP OF LOPATCONG - POOL MEMBERSHIP
232 SOUTH THIRD ST.
PHILLIPSBURG, NJ 08865
ANY QUESTIONS, PLEASE CALL (908) 859-3355, Ext. 224.
OFFICE USE ONLY
Date Paid: ______Pass#’s ______
Check# or Cash: ______