Homeowner Pool Membership Liberty Harbor 2018- Application
Pool season will be here soon! Admittance to the Swim Club and 30 Regent pool in 2018 will require a member badge with photo ID which must be presented when visiting the pool. Each household member must submit this form in order to receive their yearly badges.

The pool will officially open on May 23rd at our Pool Party/ Barbecue as we celebrate the beginning of the summer season!

Please note: if you are a tenant of a homeowner, the same fee will apply as with household members. Indicate in the form below that you are a tenant of a homeowner.

Step 1.- Fill out this Google Form. Any listed household member can apply.

Step 2.- Each household member is requested to submit an administrative fee of $50 for the season. Payment can be made by:

(1) Filling out your CREDIT CARD information belowyou will see a charge on your bank statement from 30 Regent Street, LLC.
(2) Writing a CHECK, payable to 30 Regent Street LLC.
(3) CASH by visiting the Property Management office on Tidewater.

Household members under the age of 5 are free.
Household members between the ages of 6 and 17 receive a reduced rate of $25.00 for the season.

Step 3.- Once the form has been received and processed by the Management team, you will receive an email confirming your application for membership to the Swim Club.

Step 4.- After receiving confirmation of your membership, you will be directed to your concierge or the Property Management office to take your photo and receive your badge. [If you lose your badge you will be charged $10 for a replacement].

For any questions, please contact propertymanagement@libertyharbor.com.

Email address *
Last Name *
Your answer
First Name *
Your answer
Address *
Your answer
Are you a tenant of a homeowner?
Home Telephone Number *
Your answer
Cell Number *
Your answer
Member 1 Name/ Age *
Your answer
Member 2 Name/ Age
Your answer
Member 3 Name/ Age
Your answer
Member 3 Name/ Age
Your answer
Member 4 Name/ Age
Your answer
If paying by Credit Card:
Card Number
Your answer
Expiration Date
Your answer
Name on Card
Your answer
CVV Code
Your answer
Emergency Contact: Contact Name *
Your answer
Emergency Contact: Contact Number *
Your answer
Signature (typed name accepted as signature) *
Your answer
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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