NON-RESIDENT PATRON AGREEMENT

HARRIS COUNTY WATER CONTROL & IMPROVEMENT DISTRICT NO. 116

HUNTWICK RECREATION FACILTIES

5300 CORAL GABLES DRIVE
HOUSTON, TEXAS 77069
281.444.3404
NON-RESIDENT PATRON AGREEMENT
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Name:*

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

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Rec Facility BuildingPoolTennisPickleballSwim TeamWomen's ClubOther
House: $200Full: $400Full with Extended Family: $500
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 fee apply to all credit card payments. HRF Patron fees are non-refundable.

Chose one to purchase with credit card:

Annual Non-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.

$206.10

Annual Non-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.

$411.90

Annual Non-Resident Full with Extended Family

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.

$514.80

Total

$0.00

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

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:*

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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.
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