2024 Membership Form Pay by Check

2024 HPCA Membership Form pay by Check

(Annual Membership: January 1 - December 31, 2024)
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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I will be paying my $35.00 by check and will enter my check number below. Please drop your check off 224 Sequoia in the black box on the front porch.
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2024 HPCA Membership Form pay by Check