2018 Pool Party Ticket Purchase Form

This form must be completed by all attendees.  You may make payment for your ticket at any of our events or parties.  Or you may click here to pay online.

 I am/We are a

        Couple - Ticket Price: $90 (Only $70 if purchased now)

        Single Female - Ticket Price: $40 (Only $30 if purchased now)

        Select Single Male - Ticket Price: $100 (Only $80 if purchased now)


His first name:
         His last name:      

Her first name:          Her Last name:


Telephone: 

E-mail address:  

 

If you already have a membership at The Club, what is your membership number?  
 

If you have a profile on the www.C4P.com website, what is it?     

 

Check if your answer is yes.

(Male) I am over 21 years old: 

(Female) I am over 21 years old:


Rule 1) You warrant that, if you are a police officer, government investigator or agent of any kind, you are registering and attending this event only in your private, individual capacity. You warrant that if the foregoing statement should prove to be false, you are investigating any of the guests or management of the event without disclosing your official capacity or purpose, and that your presence at this event, is an entry into private premises without consent, in violation of the 4th Amendment to the U.S. Constitution; you further warrant that you are attending at the direction of your employers and are acting within the scope of your employment. You stipulate that an appropriate amount of liquidated damages for the illegal taking of evidence or invasion of privacy which embarrasses the guest or management or which results in legal process, civil or criminal, against any of the guests or management is $100,000 per intrusion, which reflects a reasonable estimate of probable compensatory damages for loss of privacy, including humiliation, emotional distress, necessity to pay legal fees, loss of employment or advancement, and other injuries, the amount of which is uncertain. This amount shall be awarded to each guest or management against whom the investigation is targeted or against whom civil or criminal process is brought, including execution of a search warrant. A final award under this subparagraph shall not prevent a subsequent proceeding if charges are thereafter filed against a guest or the management, but the first award shall be an offset against the later award.

Rule 2) You represent that, if you are a member of the press (including television & radio), you are registering as a guest at this event only in your private, individual capacity. You warrant that, if the foregoing statement proves to be false, you are here at the direction of your employers and are acting within the scope of your employment; that you are violating the rights of the guests and management to privacy under common law and the U.S. Constitution, and that an appropriate amount of liquidated damages for any published report made which portrays or describes the activities of any guest or management is ten dollars ($10) times the number of readers or viewers of any medium which publishes the report, which reflects a reasonable estimate of probable compensatory damages for loss of privacy, including humiliation, emotional distress, necessity to pay legal fees, loss of employment or advancement, and other injuries, the amount of which is uncertain. This amount shall be awarded to each guest or manager named in the report or described in such a way as to permit identification of the guest or manager by application of the description to publicly available information.

Please answer YES or NO to the following statements.

We (I) have read and fully understand the rules of the club:     
(as shown as Rule 1 and Rule 2 above plus on the Rules page)

We (I) are aware that The Club is a social club where
people may meet others for friendship and entertainment:   
 

We (I) understand that The Club is
not liable for loss or damage to any personal property:   
 

We (I) understand that every guest in our room
will be 21 years of age or older and a paid pool party attendee:   
 

We (I) understand that The Club shall be held harmless to any activities that any members may engage in outside scheduled club activities including but not limited to the exchange of personal information between members or their guest:     

Comments: