Orinda Park Pool Application Form

Orinda Park Pool Application Form
The undersigned hereby submits application for membership in Orinda Park, Inc., and

agrees that if he/she becomes a member he/she will abide by all the rules, regulations and

bylaws of the corporation.

Please visit website for details on membership types: www.orindaparkpool.org/JOIN
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Additional Name for Membership Account
Children and Ages
A $100.00 non-refundable application fee is required when requesting placement on the waiting list.

Once you click submit, you will be directed to paypal to submit payment.

This application is subject to action of the membership committee and the right to refuse

application is reserved. Upon submitting this form you will receive a screen confirmation and a confirmation email.

MEMBERSHIP FEES

A annual membership fee will be charged by the corporation. There is a one time join fee of $1800. Upon relinquishement of membership, $900 will be returned provided member reliquished in good standing.

This is not a subscription for membership, and neither the applicant nor the corporation

incurs any legal liability under this application. Membership in Orinda Park, Inc. is transferable only with the approval of the Board of Directors of the corporation.
Application Fee
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Application Fee$100.00
Applicant's Signature*

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