Request a Cabana
Please complete the following form. * Denotes required information.
BILLING INFORMATION
First Name:*
Last Name:*
Address:*
City:*
State:*
Zip:*
Home Phone:
Mobile:*
Emergency Phone:*
Are you currently a member?*
Yes
No
Type of Unit Requested:*
Summer Season:*
Email:*
MEMBER INFORMATION
Your First Name:*
Your Last Name:*
Childs First Name:
Childs Last Name:
Childs DOB:
M    F
Childs First Name:
Childs Last Name:
Childs DOB:
M    F
Childs First Name:
Childs Last Name:
Childs DOB:
M    F
Childs First Name:
Childs Last Name:
Childs DOB:
M    F
Childs First Name:
Childs Last Name:
Childs DOB:
M    F
Childs First Name:
Childs Last Name:
Childs DOB:
M    F
If accepted, I and all other persons who will share the unit agree to observe and abide by all the rules and regulations, as same may be amended from time to time, and all signs posted throughout the Beach Club property. I have the right to cancel this Agreement, by giving notice of such cancellation, to be received by The Shores Beach Club by February 1st 2015. All monies paid on Deposit, less any expenses incurred by the Beach Club, shall be refunded. Upon such refund being made, neither party shall have further right, obligations liability to or against the other. All agreements and representations contained herein are and shall be binding upon all those persons who will share my unit, and who will join me in this application. MEMBERSHIP PASSES ARE NOT TRANSFERABLE (UNLESS MARKED) AND ARE SUBJECT TO REPOSSESSION IF MISUSED. I understand and agree that all fees and membership charges must be paid in full on or before May 1st, 2015. After May 10th, 2015 it will be subject to a 10% increase. If full payment is not received by May 10th, 2015 management reserves the right, in its sole discretion, to cancel this Agreement and shall retain, as and for liquidated damages, the entire Deposit. In addition to the cancellation of this Agreement, The Shores Beach Club may convey my unit to another person. The failure of The Shores Beach Club to rerent the unit shall not release or affect the undersigned's liability for the full season.
I have read and agree upon the terms and conditions above and the Rules and Regulations. * Signature may be required.
First Name:*
Last Name:*
I agree to the Rules, Regulations, Terms and Conditions.
     
OUR CLUB
THE SHORES
FOOD COURT

1845 (Main Club) & 2019 (Shores - West)
Ocean Blvd. Atlantic Beach, NY
   (516) 812-9411
 info@TheShoresAB.com
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