Recreational Pass
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HOMELAND VILLAGE COMMUNITY ASSOCIATION
RECREATIONAL PASS APPLICATION
 

MAIL COMPLETED APPLICATION TO:

Homeland Village Community Association
P.O. Box 726 Olney, MD 20830-0726




Important Notices: Please Read before completing:
  • Obtaining or attempting to obtain an HVCA recreational pass for a person that is not an owner or tenant of an HVCA property (by placing false information on this application) may result in the loss of use of the HVCA common facilities.
  • Landlord owners may obtain recreational passes for themselves or for their tenants, but not themselves and their tenants
  • All information requested below must be completed in order for application to be processed.
  • If your application is mailed after the above date, please include the $15 late processing fee with your application.
Property Address: ________________________________________
Home Phone Number: ________________________________________
    (Must include phone number. Write "unlisted" if it is not to be published.)


(Optional) E-mail address to be included on the Neighbor Network: _________________________

List all vehicles owned by our household, parked on HVCA property (Make, Color, License#		 _________________________
_________________________


Persons Residing at above Property Address (PLEASE PRINT LEGIBLY):


  (Full Name) M/F Height Age (Adult/Child)
1)        
2)        
3)        
4)        
5)        


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 Your Household Employee (for in-home day care):
___________________________________________________________________

ASSESSMENT ACCOUNTS MUST BE CURRENT AND OUTSTANDING COVENANT VIOLATIONS MUST BE CORRECTED EFORE RECREATIONAL PASSES CAN BE ISSUES

PARENTS ARE RESPONSIBLE FOR SUPERVISING THEIR CHILDREN AT ALL TIMES WHILE USING THE POOL FACILITIES.
 
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Last modified: 05/25/10