REMINGTON COMMUNITY DEVELOPMENT DISTRICT
Recreation Center/Gate Entry Registration

NAME OF OWNER(S):

ALL OTHER FAMILY MEMBERS USING THE FACILITIES:

ADDRESS	 	

TELEPHONE  	

To be completed by District Office personnel:
Assigned Barcode(s):  		 		 		 	

GATE ENTRY:
Indicate the Number of Barcodes Desired (first two at no cost):  	
Additional Barcodes Desired (maximum of two) at $10 each:   	

RECREATION CENTER ENTRY:
Clubhouse Access Cards Desired (maximum of two) at $10 each:  	

To be completed by District Office personnel:
Assigned Clubhouse Card Number(s):  		 	

GATE ENTRY: The barcodes for gate entry are limited to four (4) per household. The first two will be provided at no cost, however if the additional barcodes are required, please send a check or money order made out to the Remington CDD, to 9145 Narcoossee Road, Suite A206, Orlando, FL 32827 back with this form. Please provide proof of ownership (ex. Warranty Deed) with this completed form.  THESE BARCODES MAY NOT BE PICKED UP AT THE OFFICE.

RECREATION CENTER ENTRY: Clubhouse cards are limited to two (2) per family and will be mailed to the new residents upon receipt of this signed form and your payment. A check or money order must be made out to the Remington CDD and mailed to 9145 Narcoossee Road, Suite A206, Orlando, FL 32827 with this signed form. Please provide proof of ownership (ex. Warranty Deed) with this completed form.

Date

Signature of Owner / Authorized Representative

ACCEPTANCE:
I acknowledge the waiver as set forth on the attached page and agree to its terms. I have also read and agree to abide by the recreation center guidelines and pool guidelines.

REMINGTON COMMUNITY DEVELOPMENT DISTRICT
WAIVER AND GUIDELINES

RECREATION CENTER GUIDELINES:
Fitness center equipment is reserved for adult use (over 18 years old)
Recreation center hours:
Monday – Sunday, 6:00 a.m. to 10:00 p.m.

POOL GUIDELINES:
Pool hours:
Monday – Sunday, dawn to dusk
For a complete list of pool rules, please refer to the “Our Neighborhood’s Policies and Rules.”

Date

Signature of Owner/Adult Participant

WAIVER:
I understand that the Remington Community Development District assumes no responsibility for injuries or illness that I may sustain as a result of my physical condition or resulting from my participation in any activities, sports, use of exercise equipment, or other activities. I expressly acknowledge on behalf of myself and my heirs that I assume the risk for any and all injuries and illness that may result from my participation in these activities. I hereby release and discharge the Remington Community Development District, its agents, servants, and employees from any claims for injury, illness, death, loss or damage that I may suffer as a result of my participation in these activities. I understand that Remington Community Development District is not responsible for personal property lost or stolen while participating at the Remington Recreation Center, pool and sports facilities.