Waitlist Declination

Name*

First

Last

Email Address*

Phone Number*

By checking the box, you agree to the statement. You have 72 hours to complete the form.

I have been informed of my opportunity to become an equity member at Central Park Tennis Club*

Agree

I understand that I can decline membership and remain on the waitlist only once*

Agree

I understand that my non-refundable initiation deposit will be adjusted to match Central Park’s current initiation fee and deposit requirement if I *

Agree

I understand that my original deposit is non-refundable*

Agree

I understand that I will remain inactivated and forfeit all perks associated with the equity waitlist if I decline at this time*

Agree

I will be notified by the Membership Director when an opportunity for membership arises again*

Agree

I understand that if I decline membership a second time, I will forfeit all deposit and be permanently removed from the waitlist*

Agree

Choose one option in regard to your deposit and waitlist privileges*

* Indicates a required field.

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