Second Adult Member's Information

Member 2: Full Name *

Member 2: Relation *

Member 2: Phone *

Will there be children on this membership?

Yes

Children

Caregiver / Plus 1: First Name 71ndx 82rc6

A nanny, babysitter, or other adult who may bring your children to the pool.

Caregiver / Plus 1: Last Name 70th0 81qbh

Please list MINOR CHILDREN (age less than 21 years) living in the same household who will be associated with this account:

Child 1: Name *

Child 1: Age *

Child 1: Relationship *

Child 2: Name

Child 2: Age

Child 2: Relationship

Child 3: Name

Child 3: Age

Child 3: Relationship

Child 4: Name

Child 4: Age

Child 4: Relationship

Do you have additional children to enter? *

Yes

Children (cont.)

Child 5: Name *

Child 5: Age *

Child 5: Relationship *

Child 6: Name

Child 6: Age

Child 6: Relationship

Child 7: Name

Child 7: Age

Child 7: Relationship

Child 8: Name

Child 8: Age

Child 8: Relationship

For additional children, please share their name, age, and relationship here.

Submit Your Application

New Membership Applications are subject to approval by the Board of Directors. Applicant(s) agree to pay Association membership dues on or before Opening Day of each season. Applicant(s) have no rights to enter or use the club facilities until membership Payment-in-Full has been received for the new season. Applicant(s) understand and agree that the Board of Directors reserves the right to charge additional, non-refundable dues or fees (including but not limited to maintenance fees, assessment fees, late fees or joiner fees) at the time of application, or upon renewal of the membership account. Membership rates and terms listed herein are subject to change without notice. Other policies may apply.

Hold Harmless Clause: Applicant(s) understand and agree that Indian Hills Community Association, Inc. is member-owned and operated, and therefore Applicant(s), their families and their guests are using the club and pool facilities and equipment at their own risk, and will hold Indian Hills Community Association, Inc. and its board members, volunteers and employees, harmless from liability, damage claims or judgement from lawsuit.

I/WE hereby agree that all family members, household members, caregivers and guests will abide by all by-laws, policies and rules of the Indian Hills Community Association, Inc., whether now in existence or as established hereinafter.

Signature 1 *

Clear

Signature 2

Clear

Authorization: The management and/or staff of Indian Hills Community Association, Inc.(IHCA) or Indian Hills Swim Club (IHSC) may contact me via email or phone or text messages regarding special events, schedule changes or other information regarding IHCA or IHSC. I may OPT-OUT of receiving emails or phone calls or text messages at any time by contacting IHCA via email or by other written notification.

Indian Hills Swim Club New Membership Application

Membership Plan Descriptions

Second Adult Member's Information

Children

Children (cont.)

Submit Your Application