Lexington

& Hillcrest Village Apartments

220 Gibson Blvd., Suite 2 P.O. Box 754 Clark, NJ 07066 (732) 382- 2444 Fax (732) 382- 3719

Application For Swim Club

First and Last Name: _________________________________________________
Building and Apt. # : _________________________________________________
Number of Dependents: _______________________________________________
Badge Number(s): ___________________________________________________

Membership: (Please circle one)

Tenant Passes*
Family Pass (Limit 4)...$260.00 Per Season*
Husband & Wife, One Parent & Child
Domestic Partnerships, Roommates ..... $210.00 Per Season*
Individual Pass......$160.00 Per Season*

Non-Resident Passes*
Family Pass (Limit 4). .$400.00 Per Season*
Additional Family Passes $75.00 Per Season*
Husband & Wife, One Parent & Child
Domestic Partnerships, Roommates ..... $350.00 Per Season*
Individual Pass.....$250.00 Per Season*

**When paying for guest/day passes please try to bring exact change, lifeguards will only have $20 worth
of change. Make Checks Payable to the same company you make your rent checks payable to:
Sweet Briar Drive Tenants ....Hillcrest Associates
Cellar Avenue Tenants ..Riclen Associates
Lexington Boulevard Tenants Lexington Village Associates
Gibson Boulevard Tenants .Ivy Park Management Co.