Barker Lake Homeowners Association, Inc.
	2010 POOL REGISTRATION-POOL TAGS
	(REGISTRATION FORM MUST BE COMPLETELY FILLED OUT)

TO AVOID A $25 LATE FEE, the appropriate information listed below must be filled out completely and mailed to the address below or faxed to 281-500-7167

Pool tags will be issued to all property owners who have completed and returned this form and are eligible for amenity privileges. Please make sure your account has a zero (0) balance and you do not have any unresolved deed restriction violations.

Last Name of Applicant (s):  ______________________________________________________________________

Property Address:  _______________________________________________________________________________

Daytime Phone #: (____)  _______________Alternate Phone #:  (____)  ________________________

Emergency Contact and Number: _______________________________________________________________

Children's Last Name (If Different From Parents)  _______________________________________________

ALL MEMBERS (age 10 & above) MUST BE LISTED BELOW TO RECEIVE A POOL TAG.
Members are FULL TIME residents at the address above.
Visiting guests/relatives DO NOT GET TAGS! At the pool, you just sign them in as a guest.)

FIRST & LAST NAME (age 10 and above)	AGE	EYES	MEDICAL CONDITIONS

PLEASE NOTE: IF YOU ARE A TENANT, PROPERTY OWNER’S NAME AND ADDRESS ARE REQUIRED BELOW.

Owners Name: ________________________________________________________

Address: ______________________________________________________________

Please return form to:  Barker Lake HOA, Inc.  7170 Cherry Park Drive, Houston, Texas 77095          Or fax form to: 281-500-7167 (SCS Mgmt.)

I (We) ____________________________________ understand that by signature of this registration form, I (We) hereby agree to comply with the pool rules of Barker Lake Homeowners Association. I (We) have read said rules (a copy is enclosed with this form) and understand them.

I (We) further understand that failure to comply with the pool rules and to obey the posted pool hours could result in the loss of pool privileges.

 ____________________________________   (Date) ____________
Signature of Responsible Party