2015 EARC MEMBERSHIP APPLICATION Date Received by EARC______________ Mail Completed Application with Dues to: P.O. Box 9418, Asheville, NC 28815 Phone: (828) 298-2461 APPLICANT INFORMATION Name: Home Phone: Current Address: City: Cell Phone: State: Zip Code: Cell Number: SPOUSE INFORMATION Name: Home Phone: Current Address: City: Cell Phone: State: Zip Code: Cell Number: EMERGENCY CONTACT INFORMATION Name: Home Phone: Current Address: City: Cell Phone: State: Zip Code: Cell Number: EMAIL ADDRESS Please help us keep you informed electronically Email Address: Secondary Email Address: CHILDREN NAMES AND AGES Name: Name: Name: Name: Age: Age: Age: Age: REFERRAL INFORMATION Referring Family Name: Phone: APPLICANT AND SPOUSE SIGNATURES (SIGNED APPLICATION IS REQUIRED FOR ADMITTANCE TO POOL). Applicant Signature: Spouse Signature: Date: 2015 MEMBERSHIP DUES PLEASE CIRCLE THE MEMBERSHIP STATUS YOU ARE PAYING DUES FOR. FULL SEASON MEMBERSHIP Family Membership: $435 Singles Membership (2 person family): $360 Individual (1 person): $335 MONTHLY MEMBERSHIP 1 (one) Month Membership: $200 2 (two) Month Membership: $385 NOTE: 15 day grace period to upgrade to a full season member. rd Membership dues MUST BE PAID IN FULL by opening day May 23 2015. Installments will be accepted at any time BEFORE opening day, but we require that the final payment be made by opening day as stated above. NEW MONTHLY MEMBERSHIP OPTIONS FOR 2015 Monthly membership rates are based on a family. A family is defined as one or two adults with children. Note: A family shall be defined as one or two adults with children. Spouses or significant others who reside in the same household and their dependent children to include step-children and foster children are eligible for the family status. To be considered as a dependent the child(ren) must be under the age of 21. If your family makeup includes persons in the home other than those mentioned above, do not send in this application and dues without first seeking approval from the EARC Board of Directors. Failure to follow these and other club rules could result in a fine or penalty up to and including a loss of membership privileges and forfeiture of dues and fees. ALL MEMBERS MUST INCLUDE THIS “COMPLETED” APPLICATION FORM WITH THEIR PAYMENT. ~ PLEASE PROVIDE VALID EMERGENCY CONTACT INFORMATION AND AN EMAIL ADDRESS.~ MEMBERSHIP DUES ARE NON-REFUNDABLE.