Lincolnia Park Recreation Club, Inc. Membership Form

Annual Dues Statement/Membership Verification for the Season

Please fill out the following form (and javascript must be turned on in your browser for it to work) and make payment on or before May 31, (the price for each membership type increases by $25 on that date).

The form below will guide you through a series of questions and present new questions depending on your answers. At the end, the form will tell you the total cost of your membership and give you payment options (Paypal or mailing in a check). The Paypal payment option includes a $10 surcharge to cover most of the cost that Paypal charges us for processing it (on most payments, we pay some portion of the charge).

If you are not a new member this year, you will also have to mail us a check for $100 for the work fee, which we will shred if you work 4 hours before or during the season, or we will cash after the season if you do not work. (There are abundant opportunities to fulfill these work hours. You also have the option of simply adding $100 to your total right now if you know you won't work; all of this is handled at the bottom of this form.)

While we greatly prefer electronic submssion of this form and electronic payment (it is both kinder to the environment and administratively easier for us), we also understand that some may prefer the previous method of registration. If you do, you can print the form at this link and mail it in (or use the one mailed to you), or you can submit the electronic form, and send us a check at LPRC, P.O. Box 243, Annandale, VA 22003.

While this form is designed to cover the vast majority of situations, if anything on it confuses you or if you think you have a special situation the form does not cover adequately (or if you find a bug), please e-mail the LPRC Membership Coordinator, Andrew Wise at andrewwise5@gmail.com.

First tell us your membership status:

(Because we are running a membership campaign, new members in (or members joining after an absence) get $100 off in . Additionally, members new in do not have to pay the $100 work fee but those that joined in or before do.)

Existing Member (you joined in or earlier - Welcome back!)
New Member in (Welcome!)
Rejoining after an absence from before (Welcome back!)

Has any of your information changed, including contact information or number of additional members? Check if yes:

Were you referred by an LPRC member? (Members get discounts for referrals.)
If yes, check here and put the member's name here:

Next enter this information:
First name of Member1: Last name of Member1: Email of Member1:
First name of Member2: Last name of Member2: Email of Member2:
Street Address: City: State: Zipcode:
Phone Number (primary): Phone Number 2: Phone Number 3:
and answer a few questions:

Do you have kids? Check if you do:

How many kids do you have? (The cost is $30 per child, but children age 3 and younger are free, but we still want you to enter their information here. Also, beginning in 2014, you only pay for the first 4 children! Again, we still want you to enter information for all children for our records. Thanks!)

How many total kids do you have? How many kids age 4 or older (as of May 1, ) do you have?

Please enter their information here:
Child1: Name: Date of Birth: Age (calculated for you as of May 1 from the date of birth):
Child2: Name: Date of Birth: Age (calculated for you as of May 1 from the date of birth):
Child3: Name: Date of Birth: Age (calculated for you as of May 1 from the date of birth):
Child4: Name: Date of Birth: Age (calculated for you as of May 1 from the date of birth):
Child5: Name: Date of Birth: Age (calculated for you as of May 1 from the date of birth):
Child6: Name: Date of Birth: Age (calculated for you as of May 1 from the date of birth):
Child7: Name: Date of Birth: Age (calculated for you as of May 1 from the date of birth):
Child8: Name: Date of Birth: Age (calculated for you as of May 1 from the date of birth):

How many extra members do you have?

Please enter their information here:
Name of Extra Member1: Name of Extra Member2: Name of Extra Member3:
Name of Extra Member4: Name of Extra Member5: Name of Extra Member6:

Interested in the tennis team or lessons? Go to the tennis team website for more information or to the tennis registration form to register.

Are any of the children in your membership interested in the swim team? Check if yes:
For information about the LPRC’s swim program and to register for the LPRC Lazers, please go to the swim team’s website: lprclazers.swimtopia.com.

Guest passes: Each member receives 5 guess passes as part of membership. If you purchase books of 10 guest passes here, you get a $5 discount per book: each book of 10 passes costs $45, whereas guest passes are $5 each at the gate. Just a reminder that if you bring a guest to the tennis courts, you should check in at the guard desk first, and use a guest pass. So, now might be a great time to pick up some guest passes!
Number of books of guest passes?

Snack cards: Snack cards are a convenient way to let your kids get a treat at the pool. We sell ice cream and chips, and on occasion candy, popcorn, and other treats.
Number of $10 snack cards?

Finally, you have to decide how to handle our work fee:

At LPRC, we are fortunate to have 8 acres of green space, tennis courts, and of course the pool. All these assets require maintenance, and we as members are the ones who must maintain the space. As a result, all members, except for those in their first year of membership (and if you are a new member and see this notice, you need to go back to the top of the form and select one of our "New Member" options), must either work 4 hours before or during the season or pay a $100 work fee. There are many opportunities to work the 4 hours, such as at pre-opening work days, regular grounds maintenance during the warm months, or helping before or during swim meets or social events. If you think there is any chance you will work the 4 hours between now and when the pool closes in September, select the first option below, and mail a separate check for $100 to LPRC, P.O. Box 243, Annandale, VA 22003; if you work the hours, we will shred the check and, if not, we will cash it after the season. (Unfortunately, there is no electronic payment option for this choice.) If you are absolutely sure you will not work the hours, indicate this below, and $100 will be added to your membership fee at the bottom.

How do you want to handle the work fee?

Congratulations, as a new member, you are exempt from our work requirement/work fee:

At LPRC, we are fortunate to have 8 acres of green space, tennis courts, and of course the pool. All these assets require maintenance, and we as members are the ones who must maintain the space. Returning members must either work 4 hours or pay a $100 work fee. However, as a new member, you catch a break on this requirement, and do not have to work or pay the fee. We want our new members to relax and enjoy themselves!

Paypal or check:

We are now offering the option of paying by Paypal, which allows use of a credit card or direct debit from your bank account! However, Paypal charges a fee for this convenience. If you wish to pay with Paypal, it will add $10 to your total on the next page. (We also pay part of the fee.) Also, if you select the second option, you can mail a check for the total below to LPRC, P.O. Box 243, Annandale, VA 22003.

Please make this selection carefully: If you change your mind (say, select "Check" and then decide to go back to "Paypal,") the form will not submit properly, and you will be sent to the check payment page rather than the Paypal payment page. (I'm working on a fix.) So, if change your mind, please refresh the page and fill out the form again. Sorry for any inconvenience!

How do you want to pay?

Anything else?

If you have anything else to tell us, please enter it into the box below. This could include special circumstances you need to communicate to us. (This also can be communicated to Andrew Wise at andrewwise5@gmail.com.)

Has any of your information changed, including contact information or number of additional members? Check if yes:

Were you referred by an LPRC member? (Members get discounts for referrals.)
If yes, check here and put the member's name here:

Do you have other people living in the household for all or part of the summer who want access to the pool? Examples include grandchildren or people employed for childcare, such as a nanny. Adult children are not eligible. The cost is $30 per extra member. Please note: For Tennis Family Memberships, if there are children covered by the membership, you should check this box and enter them here. For Senior Basic Memberships or Senior Individual memberships, if you have grandchildren who you will bring as extra members, you should check this box and enter them here. Check if you have extra members:

How many extra members do you have?

Please enter their information here:
Name of Extra Member1: Name of Extra Member2: Name of Extra Member3:
Name of Extra Member4: Name of Extra Member5: Name of Extra Member6:

Interested in the tennis team or lessons? Go to the tennis team website for more information or to the tennis registration form to register.

Snack cards: Snack cards are a convenient way to let your kids get a treat at the pool. We sell ice cream and chips, and on occasion candy, popcorn, and other treats.
Number of $10 snack cards?

Finally, you have to decide how to handle our work fee:

How do you want to handle the work fee?

Congratulations, as a new member, you are exempt from our work requirement/work fee:

At LPRC, we are fortunate to have 8 acres of green space, tennis courts, and of course the pool. All these assets require maintenance, and we as members are the ones who must maintain the space. Returning members must either work 4 hours or pay a $100 work fee. However, as a new member, you catch a break on this requirement, and do not have to work or pay the fee. We want our new members to relax and enjoy themselves!

Paypal or check:

We are now offering the option of paying by Paypal, which allows use of a credit card or direct debit from your bank account! However, Paypal charges a fee for this convenience. If you wish to pay with Paypal, it will add $10 to your total below. Also, you can mail a check for the total below to LPRC, P.O. Box 243, Annandale, VA 22003.

How do you want to pay?

Anything else?

Has any of your information changed, including contact information or number of additional members? Check if yes:

Were you referred by an LPRC member? (Members get discounts for referrals.)
If yes, check here and put the member's name here:

How many extra members do you have?
Please enter their information here:
Name of Extra Member1: Name of Extra Member2: Name of Extra Member3:
Name of Extra Member4: Name of Extra Member5: Name of Extra Member6:

Interested in the tennis team or lessons? Go to the tennis team website for more information or to the tennis registration form to register.

Snack cards: Snack cards are a convenient way to let your kids get a treat at the pool. We sell ice cream and chips, and on occasion candy, popcorn, and other treats.
Number of $10 snack cards?

Finally, you have to decide how to handle our work fee:

How do you want to handle the work fee?

Congratulations, as a new member, you are exempt from our work requirement/work fee:

At LPRC, we are fortunate to have 8 acres of green space, tennis courts, and of course the pool. All these assets require maintenance, and we as members are the ones who must maintain the space. Returning members must either work 4 hours or pay a $100 work fee. However, as a new member, you catch a break on this requirement, and do not have to work or pay the fee. We want our new members to relax and enjoy themselves!

Paypal or check:

We are now offering the option of paying by Paypal, which allows use of a credit card or direct debit from your bank account! However, Paypal charges a fee for this convenience. If you wish to pay with Paypal, it will add $10 to your total below. Also, you can mail a check for the total below to LPRC, P.O. Box 243, Annandale, VA 22003.

How do you want to pay?

Anything else?

Has any of your information changed, including contact information or number of additional members? Check if yes:

Were you referred by an LPRC member? (Members get discounts for referrals.)
If yes, check here and put the member's name here:

Next enter this information:
First name: Last name: Email:
Street Address: City: State: Zipcode:
Phone Number (primary): Phone Number 2: Phone Number 3:
and answer a few questions:

Snack cards: Snack cards are a convenient way to let your kids get a treat at the pool. We sell ice cream and chips, and on occasion candy, popcorn, and other treats.
Number of $10 snack cards?

Finally, you have to decide how to handle our work fee:

How do you want to handle the work fee?

Congratulations, as a new member, you are exempt from our work requirement/work fee:

At LPRC, we are fortunate to have 8 acres of green space, tennis courts, and of course the pool. All these assets require maintenance, and we as members are the ones who must maintain the space. Returning members must either work 4 hours or pay a $100 work fee. However, as a new member, you catch a break on this requirement, and do not have to work or pay the fee. We want our new members to relax and enjoy themselves!

Paypal or check:

We are now offering the option of paying by Paypal, which allows use of a credit card or direct debit from your bank account! However, Paypal charges a fee for this convenience. If you wish to pay with Paypal, it will add $10 to your total below. Also, you can mail a check for the total below to LPRC, P.O. Box 243, Annandale, VA 22003.

How do you want to pay?

Anything else?

Has any of your information changed, including contact information or number of additional members? Check if yes:

Were you referred by an LPRC member? (Members get discounts for referrals.)
If yes, check here and put the member's name here:

Next enter this information:
First name: Last name: Email:
Street Address: City: State: Zipcode:
Phone Number (primary): Phone Number 2: Phone Number 3:
and answer a few questions:

Snack cards: Snack cards are a convenient way to let your kids get a treat at the pool. We sell ice cream and chips, and on occasion candy, popcorn, and other treats.
Number of $10 snack cards?

Finally, you have to decide how to handle our work fee:

How do you want to handle the work fee?

Congratulations, as a new member, you are exempt from our work requirement/work fee:

At LPRC, we are fortunate to have 8 acres of green space, tennis courts, and of course the pool. All these assets require maintenance, and we as members are the ones who must maintain the space. Returning members must either work 4 hours or pay a $100 work fee. However, as a new member, you catch a break on this requirement, and do not have to work or pay the fee. We want our new members to relax and enjoy themselves!

Paypal or check:

We are now offering the option of paying by Paypal, which allows use of a credit card or direct debit from your bank account! However, Paypal charges a fee for this convenience. If you wish to pay with Paypal, it will add $10 to your total below. Also, you can mail a check for the total below to LPRC, P.O. Box 243, Annandale, VA 22003.

How do you want to pay?

Anything else?

Has any of your information changed, including contact information or number of additional members? Check if yes:

Were you referred by an LPRC member? (Members get discounts for referrals.)
If yes, check here and put the member's name here:

Next enter this information:
First name: Last name: Email:
Street Address: City: State: Zipcode:
Phone Number (primary): Phone Number 2: Phone Number 3:
and answer a few questions:

Interested in the tennis team or lessons? Go to the tennis team website for more information or to the tennis registration form to register.

Snack cards: Snack cards are a convenient way to let your kids get a treat at the pool. We sell ice cream and chips, and on occasion candy, popcorn, and other treats.
Number of $10 snack cards?

Finally, you have to decide how to handle our work fee:

How do you want to handle the work fee?

Congratulations, as a new member, you are exempt from our work requirement/work fee:

At LPRC, we are fortunate to have 8 acres of green space, tennis courts, and of course the pool. All these assets require maintenance, and we as members are the ones who must maintain the space. Returning members must either work 4 hours or pay a $100 work fee. However, as a new member, you catch a break on this requirement, and do not have to work or pay the fee. We want our new members to relax and enjoy themselves!

Paypal or check:

We are now offering the option of paying by Paypal, which allows use of a credit card or direct debit from your bank account! However, Paypal charges a fee for this convenience. If you wish to pay with Paypal, it will add $10 to your total below. Also, you can mail a check for the total below to LPRC, P.O. Box 243, Annandale, VA 22003.

How do you want to pay?

Anything else?

Support your community by donating to LPRC, a non-profit, community-owned organization! NOTE: Because we are a tax-exempt club and not a charity, donations to LPRC are NOT tax-deductible. However, all donations will go directly to improving the pool and thus support your neighborhood. Projects currently under consideration include a playground (already purchased), recaulking the deck, and expanding the social areas to accomodate our growing membership. Your donations will make these a reality much sooner. Thank you!

Contact Info
Contact us for more information:
Phone: (703) 941-9676
Email: pool@lincolniapark.org

Location Information:
Lincolnia Park Recreational Club
6501 Montrose Street
Alexandria, VA 22312
(Click on address to view larger map.)

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Annual Dues Statement/Membership Verification for the document.write(new Date().getFullYear()) Season

Lincolnia Park Recreation Club, Inc. Membership Form

Annual Dues Statement/Membership Verification for the Season