HCRA Membership 2023 Applicant Name * Applicant Name First First Last Last Street Address * City * State * Zip * Email * Phone * Age (18+) * Membership Size * 1 Adult Membership (18+) 2 Person Membership 3 Person Membership 4 Person Membership 5 Person Membership 6 Person Membership 7 Person Membership 8 Person Membership 9 Person Membership Member 2 Name Age Applicant Is Legal Guardian Yes No Spouse Member 3 Name Age Applicant Is Legal Guardian Yes No Member 4 Name Age Applicant Is Legal Guardian Yes No Member 5 Name Age Applicant Is Legal Guardian Yes No Member 6 Name Age Applicant Is Legal Guardian Yes No Member 7 Name Age Applicant Is Legal Guardian Yes No Member 8 Name Age Applicant Is Legal Guardian Yes No Member 9 Name Age Applicant Is Legal Guardian Yes No Emergency Contact (Primary) Phone Emergency Contact (Secondary) Phone Total Terms and Conditions * I Accept I Decline By clicking “Submit and Proceed to Payment,” you acknowledge you have read, understand, and accept the Hurricane Creek Recreation Area Pool Rules, located at “https://hurricanecreekpool.com/index.php/pool-safety.” Failure to honor and comply with the provisions provided may result in temporary or permanent revocation of Membership, without refund. If you are human, leave this field blank. Submit and Proceed to Payment
