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King Farm Amenities Pass Application Form

Please complete the following fields and then select Submit. Your submission will be sent directly to Management. We strive to respond to messages as quickly as possible; however, please allow 1 to 2 business days to receive a response. Once your information is verified, we will contact you to let you know that we have issued the mobile amenities passes. If there is information missing, we will contact you to let you know.
Please indicate whether you are the owner or tenant. If you are a tenant, please include your lease by uploading a file at the end of this application.
Applicant - Resident #1 Name(Required)
Main homeowner or tenant information.
Please provide your contact number in case we need to call you.

Homeowner/Resident #2 Name(Required)
If there is only 1 owner/tenant, please put N/A in the fields below for resident #2. If there are multiple homeowners or members of the household, please list their information AND list each person in the home (including yourself) in the space provided under "Additional Members of Household".
Secondary homeowner or tenant. If there is only 1 resident in the household, please put N/A.

Address

King Farm Address(Required)
If you live in a condominium, please be sure to include your unit number in the space below.
If you are an off-site owner and do not reside in King Farm, please provide your mailing address.

ADDITIONAL MEMBERS OF HOUSEHOLD:

Please list ALL members of your household (including yourself) and include each persons name, age, and relationship to you. In the space below you may indicate if all members need amenities passes or if only certain individuals do. Children 12 + are eligible for an amenities pass. Each King Farm resident 18+ can bring up to 4 guests per amenities pass. Residents 14-17 can bring 1 guest using their pass; and residents 12 – 13 can’t bring any guests.
Please list all members of your household and their ages & relationship to owner/tenant(Required)
i.e. John Doe, SELF, 40; Jane Doe, SPOUSE, 39; Mary Doe, CHILD, 12
First/Last Name
Relationship to Applicant
Age
Applying for a Pass?
 

Additional Information and Considerations:

Either the owner or the tenant MUST attach a current copy of the lease with the application. Passes will be issued to EITHER THE OWNER OR TENANT, NOT BOTH. No one will be admitted without proper authorization. Amenities passes are $25.00 per pass. All persons using the pool or pool facilities do so at their own risk. King Farm Citizens Assembly assumes no responsibility for any accident or injury in connection with such use, or for any loss or damage to personal property. Your account must have a zero ($0.00) account balance.
Please list your emergency contact and include the following information: First/Last Name, Relationship to you, Phone Number, Email and address (if this person does not reside with you).
Acknowledgment of Rules:(Required)
Electronic Communication Consent

PROOF OF RESIDENCY & REQUIRED INFORMATION

Please attach a copy of all applicant's driver's licenses as proof of residency. If your address on your license is not a King Farm address, please upload any documentation showing proof of residency (i.e., a recent utility bill or statement, ALTA form, or settlement document).
Drop files here or
Accepted file types: jpeg, png, Max. file size: 1 MB.
    Please upload/attach a profile/headshot picture of EACH member of the household applying for a pass (this is used for your resident file and for proof of identity when you use your pass).
    Drop files here or
    Accepted file types: jpeg, png, pdf, Max. file size: 1 MB.

      LEASE (Tenants Only)

      Please upload a copy of your signed lease.
      Drop files here or
      Accepted file types: jpeg, png, pdf, Max. file size: 1 MB.

        Payment

        Using our online payment portal, please pay for each mobile pass ($25 per pass) that you are applying for.
        https://www.clover.com/online-ordering/king-farm-citizens-assem-rockville
        Please indicate the number of passes you are applying for and purchasing.
        Please enter a number greater than or equal to 1.
        This field is for validation purposes and should be left unchanged.