CLPOA Application

for Membership

Confirm Membership Type

First name

Last name

Street Address / City / State

Phone

Please list first name, last name, and age of all children (under 18) and dependent family members living in your household. (Type 'NA' in any extra boxes.)

First Name / Last Name / Age

Additional Information

YES, please send me CLPOA news and updates via email.

YES, I'm interested in volunteering to help maintain lake property. Please contact me.

Membership Agreement

I have read the CLPOA Terms and Conditions and agree to comply with all current and future rules and regulations of the Association.

By signing below and clicking 'Submit,' I acknowledge these guidelines and commit to upholding them for the benefit of all members.

Signature

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Date

Month

Day

Year