EWING TOWNSHP POOL SYSTEM

2008 POOL PERMIT APPLICATION

The Township of Ewing is offering pool membership to the Ewing Pool System. The membership is good for
the Hollowbrook Community Center (HCC), 320 Hollowbrook Drive and the Ewing Senior & Community Center
(ES&CC), 999 Lower Ferry Road. The pool hours for public swimming are 12:00pm (noon) – 8:00pm (7:00pm
after 8/17) daily, conditions permitting. The ES&CC pool will be open on the weekends of May 24, 25 &
26(Memorial Day), May 31, June 1, 7, 8, 14, 15. Both pools will open seven days a week starting Wednesday,
June 18th – Monday, September 1, Labor Day. Daily rates are available for residents or guests.
POOL SYSTEM SEASONAL MEMBERSHIP FEES
Residents Non-Residents
Family _______________ $375.00 Family ________________ $600.00

Adult(18&over) __________ $200.00 Adult(18&over)___________ $350.00

Child (17&under)_________ $125.00 Child(17&under)__________$175.00

Senior(over 60) __________ $125.00 Senior(over 60) ___________$175.00

Senior(2 or more)________ $210.00 Senior(2 or more)__________$325.00

FAMILY DEFINITION
A resident family is considered members of the same family unit permanently residing at the same legitimate
Ewing address. A family unit is defined as parent(s), legal guardian(s) and their immediate dependents. A
dependant is defined as a natural, foster or adopted child or any minors the adult(s) have legal custody of.
Age is determined as of June 1st of the present year.
PLEASE PRINT
Family Name(s):_________________________________________________________________________________

Address:_______________________________________City________________State_________Zip____________

Phone (H)____________________________(W)____________________________(C)___________________________
FIRST NAME ____ AGE _SEX _ Height _ Weight _ School __ Notes .

_____________________ ______ ______ ________ ________ _______________ ______________

_____________________ ______ ______ ________ ________ _______________ ______________

_____________________ ______ ______ ________ ________ _______________ ______________

_____________________ ______ ______ ________ ________ _______________ ______________

_____________________ ______ ______ ________ ________ _______________ ______________

_____________________ ______ ______ ________ ________ _______________ ______________
I hereby certify that all statements written on this form are true. I understand that falsification of information will result in being removed
from the program and forfeiting all money paid for the program or to the Ewing Recreation Department.

_________________________________________________________ ______________________________________________
Signature Date
There are no refunds once a payment has been made and receipted. The Recreation Department reserves the right to make exceptions
when appropriate.
------------------------------------------------------------FOR OFFICE USE ONLY-------------------------------------------------------------------------
RECEIVED BY_________________________DATE____________________RECEIPT #________________NOTE___________________

AMOUNT PAID________________________CASH____________________CHECK#___________________NOTE___________________

Credit Card__________________Exp. Date_____________Card#________________________________