Document Sample
2012-SINGLE-Glen-Cove-Swim-Club-Membership-Application Powered By Docstoc
					                   2012 Glen Cove Swim Club Membership Application

Single Membership                                                                  For Glen Cove Swim Club Use Only
One adult (over 18) person membership.                                             Check # _____________________
Fee: $200 (non-refundable)                                                         Amount _____________________
Application fee: $25 for new member or returning                                   Date ________________________
member who submits application after April 25, 2012.
                                                                           Membership # ________________
Please help us keep you informed and our administrative
costs down by providing your email address. We communicate
pool events and closings through email, the Glen Cove website and Facebook.

Complete online form and pay via our secure website, or mail completed application and check to:
Glen Cove Swim Club, Inc.
3767 Forest Lane #124-1141           NO APPLICATION CAN BE ACCEPTED WITHOUT PAYMENT.
Dallas, TX 75244

NOTE to Returning Member:
     If your information has NOT changed from last year, check this box and enter only your name. Then skip to
     ***** below.


Full Name


City                                                                      Zip

10-Digit Phone                                                            Alternate Phone

Email Address                                                             Alternate Email Address

Referred By – New Member Only

I give my consent to be photographed for the purposes of promoting Glen Cove Swim Club, Inc. in printed and/or
digital form. (MUST CIRCLE ONE) YES / NO

Signature                                                                 Date

Glen Cove Swim Club is a volunteer organization. All Club activities and events are run by YOU – our valued Glen Cove

              Please volunteer to help us by indicating your interest(s) below. Thank you!!

              _____ Burger Fry                                             _____ Parties & Special Events

              _____ Facilities/Maintenance                                 _____ Swim Team

               By checking this box, you acknowledge you have read and agree to abide by all the Rules and
               Regulations of Glen Cove Swim Club as listed in this application. Failure to adhere to the Rules can lead
               to membership revocation without refund.

Page 1 of 5                  Glen Cove Swim Club Membership Application      
                2012 Glen Cove Swim Club Membership Application



In consideration of the opportunity and privilege extended by Glen Cove Swim Club, Inc., (the Club) to the
undersigned and his or her family members to join the Club, and the acceptance by the Club of them as members, the
undersigned, individually and on behalf of each member of his or her family and guest, agrees that the Club, its
officers, directors, employees, agents, and other Club members shall not be liable or responsible for, and shall be
saved and held harmless by the undersigned and each family member and guest, from and against any and all claims,
and damages of every kind, for injuries or death of the undersigned, family members and guest, and for damage to or
loss of property arising out of or attributed directly or indirectly to the operation of the Club, the performance or non-
performance of services to the Club by its officers, directors, employees, agents, and other Club members, and from
the use of the Club’s swimming pool and other facilities by the undersigned, individually and on behalf of each of his
or her family members and guest, assumes all risks of injury, loss of life and property damage arising out of the use of
the Club’s swimming pool and other facilities by the undersigned, his or her family members and guest.

Member Signature                                                        Date

Member Name (please print)


Emergency Contact Name                                       Emergency Contact Phone

10-Digit Cell Phone                                          Alternate 10-Digit Cell Phone


In case the services of a physician are required and neither parent nor the emergency contact can be reached by
phone, I hereby authorize Glen Cove Swim Club, Inc. to call the nearest physician or emergency facility and to secure
treatment as necessary.

Authorization for Medical Treatment                          Date

Page 2 of 5                Glen Cove Swim Club Membership Application       
                2012 Glen Cove Swim Club Membership Application

Glen Cove Rules & Regulations - 2012
The following rules and regulations for Glen Cove Swim Club are intended for the benefit and protection of all
members and to assure safe and sanitary operation of the facility. Your cooperation in abiding by these conditions will
afford pleasant relation and recreating for all concerned. These rules and regulations are to be enforced by the
lifeguards. Additional safety protocol may be necessary and lifeguards must use common sense and their own
judgment in dealing with unspecified problems as they arise. These rules are available in the guard shack at the poll
for referral if necessary.

The Board of Directors has delegated authority to the Pool Management and Staff for the enforcement of these rules
and regulations. Parents will instruct their children to observe all rules and regulations, and to obey the instruction of
the lifeguards. The Pool Management Staff will take whatever action deemed necessary for the safe and orderly
operation of this facility.

Pool Hours
All posted pool hours are subject to guard availability. Glen Cove will not open without adequate guard coverage.
Sunday – Thursday                      10:30 a.m. – 9:00 p.m.
Friday – Saturday                      10:30 a.m. – 10:00 p.m.
School Days                            4:30 p.m. – 8:30 p.m.
Weekends prior to
Memorial Day and after
Labor Day                              Will post schedule on calendar
Saturday                               Noon – 8:00 p.m.
Sunday                                 Noon – 6:00 p.m.

Holiday Pool Hours
Memorial Day, July 4 & Labor Day         10:30 a.m. – 6:00 p.m.

1.   The pool will close due to the following weather conditions for a minimum of 30 minutes: below 70 degrees,
     thunder, lightning or whenever deemed necessary in the judgment of the Pool Management to insure the safety
     of Club Members and their Guests. Notification must be given to a member of the Club’s Board of Directors.
2.   Pool closings due to equipment failure, vandalism, inadequate staging or unsanitary swimming conditions will
     announced to the membership to the extent possible.
3.   The pool may close to the general membership from time to time for swim meets and/or other special events.
     These closings will be posted on the website and social media, and announced to the membership at least one
     week prior to the event.

Entry to the Pool
1. No person, member, guest or employee, shall use the pool unless it is officially open and lifeguards are on duty.
     Persons entering or using the pool area other than during designated hours of operation, unless specifically
     authorized by a member of the Board of Directors, shall be considered as trespassers and subject to criminal and
     civil prosecution.
2. No person shall be allowed to use the pool or facilities until identified with a current season pool ID by a member
     of the pool Staff. This ID must be presented upon every visit to the Club.
3. Admittance to the pool and facility will be refused to any person having a skin disease, sore or inflamed eyes, a
     cold, nasal or ear discharge, communicable or contagious disease, open sores or wounds, or having excessive

Guest Policy
1. Guests must be accompanied by a member of the pool and signed in by an adult (18 years or older) member
    only. The member is responsible for the conduct of his or her guests. This responsibility includes financial liability
    for any damages. There is a fee of $2.00 per guest with a limit of six (6) guests at one time. Any more than six (6)
    guests constitutes a party and all fees and regulations for parties apply.
2. A guest, whether swimming or not, is any person who has not paid membership dues for the current season and
    is not a member of Glen Cove Swim Club. There is a $2 guest fee for all non-members over two (2) years of age.

Page 3 of 5                Glen Cove Swim Club Membership Application       
                    2012 Glen Cove Swim Club Membership Application

3.   Guests are considered as non-permanent residents of a member address, visiting friends or relatives of a Glen
     Cove Swim Club member whose dues are paid for the current season.

Pool Rules
     1. Swimmers and bathers should take a shower before entering the pool.
     2. Proper swimming attire should be worn. T-shirts are acceptable as long as they are worn over a bathing
         suit. For example, cut-offs or ragged shorts are not permitted.
     3. Follow the lifeguard’s instructions at all times.
     4. Lifeguards are responsible for enforcing all rules, and any additional rules that are necessary for safety and
         control of the pool area.
     5. Do not enter the water unless a lifeguard is on duty. Eighteen years and older may swim without a lifeguard
         during adult swim time only.
     6. The lifeguard stands are to be used by the lifeguards only.
     7. All injuries on the premises should be reported to the Club Manager or Shift Leader immediately.
     8. Public displays of affection, such as kissing, hugging or other bodily contact (other than holding hands)
         except for a brief, momentary period of time, are not allowed.
     9. Persons under the influence of alcohol or drugs will not be allowed in the pool.
     10. Use of the pool when it is closed is prohibited.
     11. The following are not allowed in the pool or pool area:

              Chewing gum                                           Profane language
              Pets                                                  Blowing of nose in pool
              Glass of any kind*                                    Bicycles
              Confetti                                              Skateboards
              Balloons                                              Rollerblades
              Rough play                                            Spouting of water
              Spitting                                              Running

     12. Food and beverages must be kept at tables or with your belongings. No food or beverage is allowed in the
         pool or in the wading pool.
     13. Persons unable to display to the lifeguard their ability to swim will not be allowed in the deep water.
         Persons unable to display to the lifeguard their ability to swim to the ladder will not be allowed to use the
         diving board.
     14. To ensure maximum attention to pool safety by lifeguards, members are requested to stay clear of guard
         stands and not to converse with the lifeguards who are on duty on the stand or on the deck. The guards are
         there for your safety – NO FRATERNIZATION. This includes no children in the guard shack.
     15. There will be a 10-minute break every hour for all persons under 18 years of age. Adults over 18 years of
         age are allowed to swim during this time at their own risk.
     16. Only one bounce on the diving board is allowed. One on person is allowed on the diving board at a time,
         Dive in a direction straight off the end of the board. Swim directly to a ladder or towards the float rope. Do
         not do handstands on the diving board. The diving board may be closed when the pool is crowded so the
         membership and their guests may use the full area of the pool for swimming. The diving area will not be
         used for general swimming without closing down the diving board. Diving off the racing blocks is not
         permitted. Jumping from the racing blocks to the diving board is not permitted.
     17. Diving in the shallow area is not permitted.
     18. Flotation devises for children are not allowed in the pool unless an adult is at the side of the child when in
     19. Rafts, beach balls, inflatable mats and toys, water guns or water balls, and fun noodles will be allowed in the
         main pool during non-peak times. Non-peak times will be at the discretion of the lifeguards and Pool
     20. The Pool Management and Swim Club Board of Directors have the authority to exclude from the pool
         and/or facility any person for misconduct and failure to obey rules and regulations.

Page 4 of 5                   Glen Cove Swim Club Membership Application    
                2012 Glen Cove Swim Club Membership Application

1. Children eight (8) and under must be accompanied by an adult (18 years or older) while in the pool and facility.
2. Children nine (9) and older may be at the pool facility if they display their ability to swim the length of the pool
     without stopping and that they obey all rules and regulations.
3. There must be a ratio of one adult for every five (5) children (under 5 years of age) while using the pool and
4. Children in diapers must wear protective pants. Disposable diapers are not allowed in the main pool OR wading
     pool. If a child is in the pool without protective pants, the parent will be asked to remove the child immediately.
     Swim diapers are recommended.
5. Children five (5) and under are allowed to use the wading pool. Supervision of children in the wading pool is the
     responsibility of the parent(s), who must remain in the wading pool area with their child(ren) at all times.

Lost & Found
1. Lost articles will be placed on shelves in the lost and found area. Articles not claimed within seven (7) days will
     be disposed of.
2. Glen Cove Swim Club is not responsible for loss or damage to personal belongings, bicycles or automobiles on
     the Swim Club premises or parking areas.

*    ABSOLUTELY NO GLASS OBJECTS ARE ALLOWED ON CLUB PREMISES. Anyone with glass item(s) – bottles,
     dishes, etc. – in or around the pool area will be requested to remove the item(s) immediately. Lifeguards and
     Pool Management will use their discretion to check coolers upon entry. Failure to follow this rule is grounds for
     membership revocation without refund.

Page 2 of 5               Glen Cove Swim Club Membership Application       

Shared By: