Text Box:  
HOMELAND VILLAGE COMMUNITY ASSOCIATION
2005 RECREATIONAL PASS APPLICATION
MAIL COMPLETED APPLICATION BEFORE MAY 2, 2005  TO:
HOMELAND VILLAGE COMMUNITY ASSOCIATION
P.O. Box 726
Olney, MD  20830-0726
 
Property Address:_______________________________________________________________
 
Home Phone Number:______________________________________
             (Must include phone number – write “unlisted”    after number if it is not to be published.)
E-mail address to be included on the Neighbor Network:_____________________________
List all Vehicles owned by your household, parked on HVCA property (Make, Color, License #):________________
_____________________________________________________________________________________________
Persons Residing at above Property Address (PLEASE PRINT LEGIBLY):
 
1)_______________________________________           ___________     ___________     ___________
(Full Name)                                                              M/F                    Height                Age
 
2)_______________________________________           ___________     ___________     ___________
(Full Name)                                                              M/F                    Height                Age
 
3)_______________________________________           ___________     ___________     ___________
(Full Name)                                                              M/F                    Height                Age
 
4)_______________________________________           ___________     ___________     ___________
(Full Name)                                                              M/F                    Height                Age
 
5)_______________________________________           ___________     ___________     ___________
(Full Name)                                                              M/F                    Height                Age
If you employ a day care provider who will be taking your children to the pool you will need to obtain a recreational pass for your employee:
                          Name and Address of Employee:_________________________________________
ASSESSMENT ACCOUNTS MUST BE CURRENT AND OUTSTANDING COVENANT
 VIOLATIONS CORRECTED TO OBTAIN RECREATIONAL PASSES
 
Last year 93 HVCA households indicated that they wanted Water Aerobics so HVCA offered classes 2 times each week in July and August.  The actual attendance was substantially less than 93.  However, we are considering trying it again.  Currently under consideration  - Water Aerobics from 6:00 p.m. to 7:00 p.m., two weekday evenings each week during June, July and August for a cost of 30.00 per member.
Please answer:
If HVCA offered water aerobics as described above would you attend?  Yes____        No____  
If you are interested, but can’t attend at these times, what are the best times for you? ___________
______________________________________