TEAL RUN POOL ACCESS FORM FOR ANDOVER FARMS

TEAL RUN GMA POOL ACCESS INFO FOR ANDOVER FARMS RESIDENTS

The pool is for the use of Teal Run residents and non-residents who meet the requirements set forth in the Teal Run GMA Non-Resident Agreement. Wristbands are issued in a different color each year and are limited to a maximum of 4 per household for a cost of $130 per season. An additional 2 wristbands may be purchased for $30 each with a maximum total of 6 wristbands for non-residents. PLEASE NOTE: Access key cards will ONLY be activated for non-residents who meet the criteria set forth in the Teal Run GMA Non-Resident Agreement.

First Name *

Last Name *

Address *

Address 2

Phone *

Email Address *

Preferred way to contact *

Phone

Email

Any

	Member's Name	Member's Age
Member #1	Member's Name	Member's Age
Member #2	Member's Name	Member's Age
Member #3	Member's Name	Member's Age
Member #4	Member's Name	Member's Age
Member #5	Member's Name	Member's Age
Member #6	Member's Name	Member's Age

Review the Terms and Conditions Teal Run GMA Pool Agreement *

I have read and agree to the terms and conditions set forth in the Teal Run GMA Pool Access Agreement.

Please sign *

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