Membership Application
Print and complete

Family Name: ________________________________________________

Adults:            ____________________                 ____________________

Address:       _________________________________________________

City:            __________________________________________________

State:          _______________                               Zip:    _______________

Phone:         (_____)   __________________

Email Address:  _________________________________________  

I’d like to help with:  

r BCC Board as a Board Member (pool share holders only)
r Pool maintenance
r Pool grounds maintenance
r BCC social activities
r Other: _______________________________________

Signature: ________________________________________    Date: ___/___/___

Send completed application with your check for $50 payable to BCC to:
Peter Scheffler, BCC Membership Chairman, 117 Brentwood Drive (phone 482-0335 or email for any questions).

Welcome to BCC!  
Rev: 03/19/2006