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CRYSTAL SPRINGS - East Brunswick

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GUEST CARDS – Members may purchase a maximum of three (3) Guest<br />

Cards at a reduced rate. The 2-Visit Guest Card can be used to admit up<br />

to two (2) guests to the park at a cost of $24 ($48 value). The 4-Visit Guest<br />

Card can be used to admit up to four (4) guests to the park at a cost of $48<br />

($96 value). Guest Cards are available for purchase by members all season.<br />

Guests will only be admitted with a member present. Guest Cards must be<br />

used during the 2012 season.<br />

NOTE: At the end of the 2012 season,<br />

ALL guest cards will expire regardless<br />

of the year they were issued.<br />

GUEST CARDS—<br />

For Members Only<br />

3 Card Maximum<br />

2-Visit Membership Guest Card<br />

$24.00 (up to $48.00 value)<br />

4-Visit Membership Guest Card<br />

$48.00 (up to $92.00 value)<br />

Guest Cards are available for<br />

purchase by members only<br />

all season.<br />

Please make checks payable to <strong>East</strong> <strong>Brunswick</strong> Township—Aquatic Center. Mail to: 350 Dunhams Corner Road, <strong>East</strong> <strong>Brunswick</strong>, NJ 08816<br />

Applicant Information: ■ New Member ■ Renewal<br />

Last Name<br />

Address Email<br />

City State Zip<br />

Telephone (Home) (Cell) (Work)<br />

Driver’s License # Membership Type: ■ Family ■ Individual ■ Senior Citizen<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

<strong>CRYSTAL</strong> <strong>SPRINGS</strong> FAMILY AQUATIC CENTER REGISTRATION FORM ONLY<br />

ALL INFORMATION MUST BE COMPLETE OR RENEWAL OF MEMBERSHIP WILL BE DELAYED<br />

First Name Birthdate Sex<br />

FOR OFFICE USE ONLY<br />

Ck # ___________ Amount ______________<br />

Ck # ___________ Amount ______________<br />

Ck # ___________ Amount ______________<br />

SANDPIPERS: Please circle the name of Sandpiper registrant and submit separate checks per registrant.<br />

Please submit proof of Township residency (i.e., photocopy of driver’s license front & back, etc.) and copy of birth certificate for children’s<br />

ages. If you were a member in 2011, birth certificates are not required. I attest that all the information I have provided is true. I understand<br />

that falsification of information may result in loss of membership and fee.<br />

Name (signature) Date<br />

IMPORTANT: Please submit proof of residency (see Policies Page, Section 1)<br />

and copy of birth certificate for children’s ages. Registrants must be the required<br />

age by June 1. Birth certificates are not required for previous members of<br />

Crystal Springs.<br />

CALL 732-390-6833 FOR PROGRAM INFORMATION<br />

<strong>CRYSTAL</strong> <strong>SPRINGS</strong> FAMILY AQUATIC CENTER<br />

Check one box below if you are requesting a Guest Card with your membership (three cards maximum)<br />

Guest Cards: ■ 2-Visit $24/Qty. ___ ■ 4-Visit $48/Qty. ___<br />

25

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