610-388-6787 (summer season only)

Annual Dues And Registration Form

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A LATE FEE OF $50 WILL BE APPLIED AFTER MARCH 1st 2017.  AUTOMATIC REDEMPTION OF BOND WILL BEGIN ON MARCH 16th, 2017 . NO EXCEPTIONS – NO GRACE PERIOD – WE HAVE A LARGE WAIT LIST.

If you wish to terminate your membership, please complete a Membership Termination Form

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List the Certificate Holder, spouse, and single children living in the same household who will be attending the club this season. If you are eligible for membership and do not sign up, you may not attend the pool, even as a guest. EXAMPLE: If you are a family of four, you will owe a total of $485 for your pool membership this year.

annual dues

The above fees reflect individual dues.

  • Children under the age of one year as of 5/26/2017 are free.
  • Payment of Certificate Holder’s Dues is required to maintain membership in a year when the family does not actively use the pool facilities.

Please make check payable to Green Woods Club and mail to the following address NO LATER THAN MARCH 1st 2017 . Thank you.

For Pool Use Only
Check #_______________
Date Rcvd.______________

Mitch Silverstein
Membership Chair
127 Ashford Drive
Chadds Ford, PA 19317
(610) 388-1822
A late fee of $50 will be applied after March 1st 2017. Automatic redemption of bond will begin on March 16th, 2017 no exceptions – no grace period – we have a large wait list!

 

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EMERGENCY CONTACT & AUTHORIZATION CONSENT & MEDICAL

REQUIRED IF: ANY CHILD REGISTERED IS UNDER 18YEARS OLD (please print)

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Medical Authorization:
I understand that every effort will be made to contact parents/guardians in the event of an emergency. In an emergency requiring medical care and treatment, I hereby authorize any physician, hospital or other healthcare provider to give such care to this child. I also hereby give permission for the transport to/from a doctor and/or hospital by a staff member or ambulance.I do hereby release, discharge, and hold harmless the Green Woods Club Inc., its agents and employees, from any and all liability and claim either we or our child may suffer as a result of these requests for emergency treatment.The undersigned has read this Medical Authorization Consent Form and declares and affirms consent to the contents herein stated.
Parent / Guardian____________________________________________________ Date:______\___\________PLEASE RETURN THIS COMPLETED FORM WITH YOUR DUES AND REGISTRATION BY 3/1/ 2017 Thank you.