RESIDENT PATRON AGREEMENT

HARRIS COUNTY WATER CONTROL & IMPROVEMENT DISTRICT NO. 116
HUNTWICK RECREATION FACILITIES
5300 CORAL GABLES DRIVE
HOUSTON, TEXAS 77069
281.444.3404
RESIDENT PATRON AGREEMENT
Date:*

MonthDayYear
Date
Calculation
Expire Date

MonthDayYear
Date
Expiration
Name:*

First NameLast Name
Address, City, State, and Zip:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone:*
Format: (000) 000-0000.
Email:*
example@example.com

Members of Household: *If choosing Full w/Extended Family Patronage, list all Extended Family name, age, relation for issuance of access card to Facilities.

Rows	Name, age, and relation
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Rec Facility BuildingPoolTennisPickleballSwim TeamWomen's ClubOther
Paid AnnuallyPaid Monthly
Option 1: Resident Patron Fees (paid annually)
House - $150Full - $300Full w/Extended Family - $400
Check**Money Order**Credit Card
**Make check or money order payable to Huntwick Recreation Facilities and submit with this agreement to the District's office located at the address above. Processing fees apply to all credit card payments. HRF Patron fees are non-refundable.

Chose one to purchase with Credit Card:

Annual Resident House Patronage

Resident House Patrons may rent the Rec Facility Center and join All Patron groups which use the Rec Facility Center for parties, meetings, and other events. Administrative fees applied to total. One time fee only. Patronages do not automatically renew.

$154.65

Annual Resident Full Patronage

Full Patrons enjoy the same benefits as House Patrons, with the added benefit of use and rental of swimming and tennis facilities. Administrative fees applied to total. One time fee only. Patronages do not automatically renew.

$309.00

Annual Resident Full with Extended Family Patronage

Full Patrons enjoy the same benefits as House Patrons, with the added benefit of use and rental of swimming and tennis facilities. **Full Patron with Extended Family is a Resident or Non-Resident Patron and his/her extended family (defined as Non-Residents who are related by blood, marriage, adoption or a guardianship relationship to anyone in the household of the Full Patron) that, upon full payment of the applicable Patron Fees, may use all of the Facilities under certain conditions set by the Board in the HRF Rules and Regulations.** Administrative fees applied to total. One time fee only. Patronages do not automatically renew.

$411.90

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Option 2: Resident Patron Fees (if paid monthly through water bill)
House - $156 ($13/month)Full - $420 ($35/month)Full w/Extended Family - $516 ($43/month)
Resident Patron Fees paid monthly are subject to the requirements of the District's Rate Order. If a Resident opts for the monthly payment of HRF Patron Fees, then such Customer shall be required to pay the entire water and sewer service bill for such account, including the applicable HRF Patron Fees and any other fees and charges on said bill, via electronic auto-pay. If a Resident does not pay the Resident Patron Fees as billed on a monthly basis, the entire amount becomes immediately due and payable and the monthly payment option is no longer an available payment option for such Resident. Resident Patrons must also remain current on payment of their water and sewer service bills in order to utilize the monthly payment option. Non-payment of the monthly Resident Patron Fees subjects the Resident Patron to the potential for any legal restitution available to the District for such unpaid fees and refusal by the District of use of the Facilities until such unpaid fee is paid. Resident Patron key card access will be terminated 60 days after the unpaid amount of the Resident Patron Fees become immediately due.
I, the undersigned, agree to abide by the rules, regulations and policies of the Harris County Water Control & Improvement District No. 116 regarding the Huntwick Recreation Facilities. I have received and reviewed the Huntwick Recreation Facilities Rules and Regulations and I agree to be responsible for the members of my household and any guests we invite. I understand that my Patron use privileges may be terminated for violation(s) of such rules and regulations.
Signature*
Printed Name*
Date*

MonthDayYear
Date
The District does not discriminate against any user of the Facilities on the basis of age, sex, race, national origin, ancestry, creed, religion, marital status or disability.
Should be Empty:

RESIDENT PATRON AGREEMENT

Option 1: Resident Patron Fees (paid annually)

Option 2: Resident Patron Fees (if paid monthly through water bill)