Pool ID Registration — Memorial Parkway HOA

Memorial Parkway Home Owners Association

Pool ID Registration

Homeowner Information

Complete all fields. Information must match HOA records.

Name of Homeowner *

Address *

Email *

Primary Phone # *

Secondary Phone #

Texas Driver's License # *

Emergency Contact

Mandatory — List a person to contact in case of emergency.

Emergency Contact Name *

Emergency Contact Phone # *

Household Members

List every person residing in the home, including adults and children. Include the homeowner listed above. All information must be completed before ID pictures will be taken. Do not list anyone not currently residing in the home.

#	Full Name	Age	Date of Birth
1
2
3
4
5
6

Liability Waiver & Agreement

This ID is to be used to enter Memorial Parkway Homeowners Association pools, facilities, and events.

I hereby knowingly and voluntarily expressly release said Memorial Parkway, its agents, officers, employees or aids from all liability or claims, demands and cost for or arising out of injuries or damages sustained while using the amenities and facilities of Memorial Parkway, or by the negligence of me or my family. Further, I and my family agree to abide by and be bound by the Rules and Regulations for the operation and safety of Memorial Parkway facilities. I acknowledge we have been given a copy of the Memorial Parkway Home Owners Association pool rules.

Printed Name *

Signature *

Date *

For Office Staff Only

Account #

Balance: Paid or Unpaid ($)

Date Turned Into Office

Office Staff Signature / Initials

Homeowner Information

To be completed by the property owner.

Name of Homeowner *

Mailing Address *

Email *

Phone # *

Texas Driver's License #

Renter Information

Complete all fields. Name must match the lease.

Name of Renter (on the lease) *

Mailing Address *

Email *

Primary Phone # *

Secondary Phone #

Texas Driver's License # *

Emergency Contact

Mandatory — List a person to contact in case of emergency.

Emergency Contact Name *

Emergency Contact Phone # *

Household Members

List every person residing in the home, including adults and children. Include the renter listed above. All information must be completed before ID pictures will be taken. Do not list anyone not currently residing in the home.

#	Full Name	Age	Date of Birth
1
2
3
4
5
6

Liability Waiver & Agreement

This ID is to be used to enter Memorial Parkway Homeowners Association pools, facilities, and events.

Renter Name *

Signature *

Date *

For Office Staff Only

Account #

Balance: Paid or Unpaid ($)

Date Turned Into Office

Office Staff Signature / Initials

Memorial Parkway Home Owners Association

Schedule Your Badge Photo

Homeowner Information

Emergency Contact

Household Members

Liability Waiver & Agreement

For Office Staff Only

Homeowner Information

Renter Information

Emergency Contact

Household Members

Liability Waiver & Agreement

For Office Staff Only

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