the membership form - UNC Faculty

THE FARM
2017 APPLICATION FOR MEMBERSHIP
I,
UNC Faculty-Staff Recreation Association
#1 Alice Ingram Circle • CB# 2900
Chapel Hill, NC 27517
919-962-3276 (962-FARM) Fax 919-962-6854
www.uncfarm.org
wish to apply for membership in the UNC-CH Faculty-Staff
Recreation Association, in the class indicated below. Enclosed is my check in the amount of $__________________.
Signature:
Membership to begin on (date):
Class of membership (check one)
 Permanent: Reduced Initiation fee of $500 (normally $600); quarterly dues $175-$275 for one to five member
families with a charge of $25 per quarter for each additional family member; see schedule below.
 Temporary: $900-$1300 for one to five member families with a $100 per year charge for each additional family
member; see schedule below.
 Ten-week: $490-$690 for one to five member families with a $50 charge for each additional family member; offered
one-time only and weeks must be consecutive; see schedule below.
 Retired: Reduced Initiation fee of $500 (normally $600); quarterly dues of $125 per quarter. Includes member plus
spouse. Any children in the household $25 each per quarter
Position: _______________________________________ Department: ____________________________________________
Campus Box: ______________________ Campus Phone: ___________________ Home Phone: ________________________
Home Address: ________________________________________________ __________________________________________
Preferred E-mail Address: __________________________________________
Please circle the listserv(s) you would like to be on:
farmgeneral
farmtennis
farmswimteam
Listed below are all the members of my family to be included on my membership. I understand that it is my responsibility
to notify the office, in writing, of any change in this membership (including additions, deletions, or resignations).
Name
Relationship to Member
Birthdate of Children
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
______________________________________________________________________
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___
___
___
________________________________________________________________________________________________________
Schedule of Fees and Dues (Effective 1/1/17)
Member
Member plus one family member
Member plus two family members
Member plus three family members
Member plus four family members
Each additional member
Permanent
Initiation
Quarterly
$500
$175
$500
$200
$500
$225
$500
$250
$500
$275
$25/quarter
$25/ quarter
Temporary
One Year Fee
$900
$1000
$1100
$1200
$1300
$100/ year
The FSRA is a non-profit organization. Contributions are not tax-deductible.
Ten-week
One Time Fee
$490
$540
$590
$640
$690
$50/10 weeks
University of North Carolina Faculty-Staff Recreation Association
Information about Membership and Facilities
All full-time or fixed-term employees of the Consolidated University System or with UNC
Hospitals and all UNC General Administration employees residing in Chapel Hill, UNC-Chapel Hill
alumni, and adult children of Farm members are eligible for membership in the UNC-FSRA. For
more detailed information, please contact The Farm office at 962-3276 (962-FARM.) Membership is
of four types; permanent (voting), temporary (nonvoting), eight-weeks, and retired.
Facilities and Programs
Memberships
• Twelve clay tennis courts - 9 lighted
• Four lighted hard tennis courts
• Tennis shop
• Tennis practice wall
• Permanent (Voting): Reduced Initiation
• Tennis instruction - beginner to
tournament level
• Two 25-meter swimming pools,
baby pool, and bathhouse
member. The initiation fee and quarterly
dues should be paid when the application is
submitted. A portion is refundable if the
member leaves UNC-CH employment
• Aquatic instruction - water babies
through lifeguard training, Diving Program
• Summer swim team
• Playground
• Disc Golf Course
• Picnic tables
• Softball field
• Two picnic shelters
• Sand Volleyball Court
before two years time. Children are not
charged until the age of two.
• 2 Bocce Courts
• Outdoor Basketball Court
• Summer Day camps - 4-6 yrs,
6-9 yrs, 9-13 yrs
• Clubhouse with kitchen and
dressing rooms that can be rented for
functions
• Office/recreation building which includes a
fitness room, with cardio and strength
machines, and a classroom with fitness
programming.
fee of $500 and quarterly dues of $175-$275
for one to five member families with a
charge of $25 per quarter for each additional
• Temporary (Non-voting): Yearly fee of
$900-$1300 for one to five member families
with a $100 per year charge for each
additional family member. The fee should be
paid when the application is submitted.
There are no dues and no refunds.
• Ten-Weeks: Consecutive ten-week
membership is offered one time only. The
fee is $490-$690 for one to five member
families with a $50 charge for each
additional family member. The fee should be
paid when the application is submitted.
There are no dues and no refunds.
• Retired: Initiation fee of $500; quarterly
dues of $125 per quarter. Includes member
plus spouse. Any children in the household
$25 each per quarter.