2019 MP Photo ID Form
In an effort to only allow homeowners and residents to use the facilities, there will be new ID cards (similar to the old ones) issued for 2019. Anyone wishing to have access to the facilities must submit the ID form at least 3 working days prior to taking your picture. Please list the name of each resident living at the home. Do not list friends, relatives, or other persons not living at the property. If you rent/lease your home, you must include the owner's name and address and provide proof of rental in order to register for ID cards. All information must be completed before ID pictures will/can be taken.
Name of Resident (this name must also be listed below):
Rent Home (Need to provide a copy of the lease)
If Renting, Property Owner's Name:
Property Owner's Phone:
Property Owner's Mailing Address:
List of Resident's Living at the Home
List the name of each family member, including infants. Make sure to include the resident's name listed above.
1. Name, Gender, Date of Birth
2. Name, Gender, Date of Birth
3. Name, Gender, Date of Birth
4. Name, Gender, Date of Birth
5. Name, Gender, Date of Birth
6. Name, Gender, Date of Birth
Emergency Contact Information
List the name and phone number of a person to contact in case of emergency.
Emergency Contact Name & Phone Number
Hold Harmless Agreement & Indemnification Clause
In consideration for the privilege of using the swimming pools and facilities of Memorial Parkway Homeowner Association and other good and valuable consideration, I and my family assume all risk for claims heretofore and hereafter arising from the subject of the Release, in favor of me, my family, heirs, legal representatives and assigns, and hereby knowingly and voluntarily expressly release said Memorial Parkway, it’s agents, officers, employees or aids from all liability or claims, demands and cost for or arising out of injuries or damages sustained while using the amenities and facilities of Memorial Parkway, or by the negligence of me or my family. Further, I and my family agree to abide by and be bound by the Rules and Regulations for the operation and safety of Memorial Parkway facilities.
I agree and consent to the hold harmless agreement and indemnification clause.
Send me a copy of my responses.
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