2009 Ewing Pool Application

EWING TOWNSHP POOL SYSTEM 2009 POOL PERMIT APPLICATION The Township of Ewing is offering pool membership to the Ewing Pool System. The membership is good for the Hollowbrook Community Center (HCC), 320 Hollowbrook Drive and the Ewing Senior & Community Center (ES&CC), 999 Lower Ferry Road. The pool hours for public swimming are 12:00pm (noon) – 8:00pm (7:00pm after 8/16) daily, conditions permitting. The ES&CC pool will be open on the weekends of May 23, 24 & 25(Memorial Day), May 30 &31, June 6, 7, 8, 13, 14, 20, 21. Both pools will open seven days a week starting Monday, June 22nd – Monday, September 7, Labor Day. Daily rates are available for residents or guests. POOL SYSTEM SEASONAL MEMBERSHIP FEES Residents Non-Residents Family _______________ $375.00 Family ________________ $600.00 Adult(18&over) __________ $200.00

Adult(18&over)___________ $350.00

Child (17&under)_________ $125.00

Child(17&under)__________$175.00

Senior(over 60) __________ $125.00

Senior(over 60) ___________$175.00

Senior(2 or more)________ $210.00

Senior(2 or more)__________$325.00

FAMILY DEFINITION A resident family is considered members of the same family unit permanently residing at the same legitimate Ewing address. A family unit is defined as parent(s), legal guardian(s) and their immediate dependents. A dependant is defined as a natural, foster or adopted child or any minors the adult(s) have legal custody of. Age is determined as of June 1st of the present year. PLEASE PRINT

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I hereby certify that all statements written on this form are true. I understand that falsification of information will result in being removed from the program and forfeiting all money paid for the program or to the Ewing Recreation Department. _________________________________________________________ ______________________________________________ Signature Date There are no refunds once a payment has been made and receipted. The Recreation Department reserves the right to make exceptions when appropriate. ------------------------------------------------------------FOR OFFICE USE ONLY------------------------------------------------------------------------RECEIVED BY_________________________DATE____________________RECEIPT #________________NOTE___________________ AMOUNT PAID________________________CASH____________________CHECK#___________________NOTE___________________

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