HPCA Membership Form

HPCA Membership Form

(Annual Membership: January 1 - December 31, 2025)
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Spouse / Partner

First NameLast Name
Spouse / Partner Email
example@example.com
Spouse / Partner Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Accident Waiver & Release of Liability
By participating in any HPCA event you hereby assume all the risks of all your family and guest(s) participating in any/all activities associated with the Hollywood Park Community Association. The HPCA, its members and representatives will not be held liable for any injuries, damages, or personal losses sustained as a result of participation.

Information Confidential
The information in this form will not be shared outside of the Community Association and will remain confidential.
My signature below indicates I have read and understand the above statements.

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2024 HPCA MembershipAnnual dues for January - December 2024
$35.00

Credit Card Processing Fee
$3.00

Total

$0.00
Payment Methods

Please click one of the PayPal options to complete payment and submit the form.
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