CRYSTAL SPRINGS - East Brunswick
CRYSTAL SPRINGS - East Brunswick
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 />
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