MONTGOMERY MEADOWS HOMEOWNERS ASSOCIATION
C/O Community Associations, Inc.
P.O Box 1130 * Germantown, MD. 20875
Telephone: 301-258-7711
Facsimile: 301-258-8362
Email: [email protected]
2015 POOL PASS APPLICATION
Picture ID that shows address of applicant must be submitted with this application for all family members
over five years of age. You must be current in you assessments and have no outstanding maintenance items
on your home in order to receive a pass.
Homeowner Name: __________________________________ Home Telephone: ___________________________
Address: ___________________________________________Other Telephone: ___________________________
Alternate Address: (If Applicable) _________________________________________________________________
Tenant Name(s): (As shown on lease)______________________________________________________________
Tenant Telephone(s) Home____________________________ Other ____________________________________
Please list below, the names of all individuals, including those listed above, over the age of five (5), who
PERMANENTLY reside at the above listed Montgomery Meadows address and will require pool passes during the
2014 season. Passes will be issued to either the homeowner’s family or tenant’s family, BUT NOT BOTH. The
Montgomery Meadows Homeowners Association reserves the right to deny issuance of pool passes to any below
listed individual if a question arises as to the residency until such matter is satisfactorily resolved.
Applicants name(s) and age(s)
Name: ________________________
Age: _______ Name: ________________________
Age: _______
Name: ________________________
Age: _______ Name: ________________________
Age: _______
Name: ________________________
Age: _______ Name: ________________________
Age: _______
I hereby agree on behalf of myself and all others on this application form, as well as our guests, to abide by all rules and
regulations of the Montgomery Meadows Homeowners Association swimming facilities as may from time to time be
adopted by the Association. I will, if applicable, provide a copy of such rules and regulations to my tenants. I further
agree, that the tenant listed above (if applicable) has my permission to use the swimming pool facilities in my place for
the 2014 season and that a copy of the current lease agreement will be provided to the Association before any issuance of
any passes to the tenants.
Homeowner Signature: _____________________________________

Date: _________________________
I authorize Community Associations to send the pool passes directly to my tenants at the property address.
Montgomery Meadows Homeowners Association
P.O. Box 1130
Germantown, MD 20875
POOL OPENS SATURDAY, MAY 23, 2015
YOU WILL NEED A VALIDATED PASS TO GAIN ADMITTANCE TO THE POOL
The 2015 pool season will begin on Saturday, May 23, 2015 The Association has contracted with
Georgetown Aquatics for this pool season.
Homeowners will have to obtain a pool pass, which will be issued subsequent to receipt of the application
form, which is enclosed with this mailing. The enclosed form must be forwarded to Community
Associations, Inc. for approval.
Please read the following information carefully so you may obtain your new pool pass for this
coming pool season.
This year you must send in a picture ID that also shows the address for all applicants over
the age of five. Applicants that do not send in the proper identification will not receive
passes. You will not receive pool passes if there is a balance on your homeowners account
or if there are repair/maintenance items outstanding on the home.
1.
ELIGIBILITY –
a.
Pool passes will only be accepted for those households that are current with their
homeowners association dues and do not have any outstanding 2011, 2012, or 2013
maintenance violations. NO EXCEPTIONS WILL BE MADE. Please handle these
matters before requesting your pool pass.
b.
Children under the age of 13 must be accompanied by an adult with a valid pass.
(PLEASE NOTE, AN ADULT IS A VALID MEMBER 18 YEARS OF AGE OR
OLDER).
c.
For homeowners who are renting their homes, it is important that you understand that
pool passes can be issued to you, the owner, OR the occupants of the rental property,
NOT TO BOTH. If you choose to relinquish the pool privilege, it is your responsibility
to forward this pass application to your tenant. A copy of this letter is not being sent to
tenants.
d.
Montgomery Meadows unit owners who do not live at the property must submit a copy
of their current lease to be eligible for a pool pass.
e.
Please note: If you wish the application to be sent DIRECTLY to the tenant, please
check the appropriate box on the bottom of the application.
2.
PROCEDURE –
a.
No one can be admitted to the pool without a valid pass. Adherence to the application
procedure will insure your receipt of a valid pass prior to pool opening. For those
residents who send back their pool form, these passes will be left at the pool facility by
opening day. If your pass is not on-site, we encourage you to contact the offices of
Community Associations immediately to confirm any architectural violations or
outstanding delinquencies.
b.
Please complete the 2015 Pool application form, fill in the appropriate sections, and
return it so it is received NLT May 20, 2014:
Montgomery Meadows Homeowners Association
C/o Community Associations, Inc.
P.O. Box 1130
Germantown, MD. 20874
3.
c.
Homeowners or Residents applying to receive passes or passes received after May
20th will not be able to pickup pass in the management office. Applications for
passes received after May 20th will be processed once a week and will be mailed to
the owner.
d.
Finally, in an effort to keep the pool from becoming overcrowded, the number of guests
per household will be limited. Each household will be allowed two guests per day
without prior notification. Arrangements for guests totaling more than two must be prearranged with Community Associations, Inc. at least 72 hours prior to the day requested.
All guests, pre-arranged or not, will be expected to sign in at the desk, and provide a form
of identification on request. ONLY ADULT (18 YEARS OF AGE OR OLDER)
PASSHOLDERS WILL BE ABLE TO ADMIT A GUEST and must stay at the pool
with the guest.
PARENTAL PERMISSION FORM - Also enclosed is a Montgomery Meadows Homeowners
Association Pool Parental Permission Form. This form must be on file and delivered in person
by the parent or guardian to the pool manager.
MONTGOMERY MEADOWS HOMEOWNERS ASSOCIATION, INC.
2015
PARENTAL PERMISSION FORM
For Children Ages 13-16
I hereby give permission for ______________________________________________________ to swim
unattended by a parent or guardian at the Montgomery Meadows Swimming Pool and release the
Montgomery Meadows Homeowners Association of any liability in case of injury in my absence.
I also understand that my child(ren) between the ages of 13 to 16 must first pass a swim test before being
permitted into the pool unattended. _____ (Initial)
I have read the attached rules to my child(ren) and I believe them to understood good citizenship behavior
at the pool. _____ (Initial)
___________________________________________
Parent’s signature
Date
___________________________________________
Phone Numbers: (h)
(w)
Emergency
Swim test results
Passed_______date
Failed________date
Guard’s signature and date.
__________________________
Retested______date
Passed_______ date
Failed_______ date
Guard’s signature and date.
__________________________